Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.43 / $147.97 / $902.73	Facility	26	$134.43	$147.97	$902.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $194.31 / $323.35	Professional		$167.51	$194.31	$323.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $195.19 / $380.88	Professional		$137.97	$195.19	$380.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $116.24 / $169.46 / $413.90	Professional		$116.24	$169.46	$413.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $233.45 / $560.08	Professional		$136.13	$233.45	$560.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $92.90 / $290.70	Professional		$73.25	$92.90	$290.70
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.40 / $71.53 / $221.12	Professional	26	$56.40	$71.53	$221.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.24 / $215.34 / $436.31	Professional		$171.24	$215.34	$436.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $135.69 / $165.45 / $295.88	Professional	26	$135.69	$165.45	$295.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $337.61 / $658.52 / $718.39	Facility	26	$337.61	$658.52	$718.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,346.60 / $1,346.60 / $1,499.78	Professional		$1,346.60	$1,346.60	$1,499.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $266.04	Professional		$32.34	$32.34	$266.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.34 / $276.36 / $544.99	Professional		$165.34	$276.36	$544.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $658.19 / $658.19 / $658.19	Professional		$658.19	$658.19	$658.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $174.06 / $239.34	Professional		$92.90	$174.06	$239.34
United Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $203.76 / $560.89	Professional		$144.19	$203.76	$560.89