Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.97 / $53.70 / $319.87	Facility	26	$47.97	$53.70	$319.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $98.42 / $270.00	Professional		$83.63	$98.42	$270.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $85.47 / $85.47	Professional		$85.47	$85.47	$85.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $128.99 / $267.99	Professional		$83.40	$128.99	$267.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $91.07 / $214.25	Professional		$67.36	$91.07	$214.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $124.78 / $278.05	Professional		$88.20	$124.78	$278.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $109.35 / $147.62	Professional		$82.81	$109.35	$147.62
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.89 / $59.18 / $79.89	Professional	26	$43.89	$59.18	$79.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $106.28 / $204.00	Professional		$84.76	$106.28	$204.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.84 / $59.80 / $106.82	Professional	26	$48.84	$59.80	$106.82
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $120.14 / $234.66 / $257.88	Facility	26	$120.14	$234.66	$257.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $584.30 / $584.30 / $731.03	Professional		$584.30	$584.30	$731.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $125.58	Professional		$32.34	$32.34	$125.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $141.33 / $247.94	Professional		$99.49	$141.33	$247.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $317.43 / $317.43 / $317.43	Professional		$317.43	$317.43	$317.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $107.66 / $140.78	Professional		$88.42	$107.66	$140.78
United Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $107.97 / $278.88	Professional		$75.88	$107.97	$278.88