Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $52.48 / $302.00	Facility	26	$46.77	$52.48	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $338.84	Professional		$83.18	$102.33	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $281.84	Professional		$93.33	$147.91	$281.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $218.78	Professional		$83.18	$107.15	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $263.03	Professional		$100.00	$128.82	$263.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $158.49	Professional		$83.18	$120.23	$158.49
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $63.10 / $83.18	Professional	26	$43.65	$63.10	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $190.55	Professional		$91.20	$109.65	$190.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $58.88 / $97.72	Professional	26	$52.48	$58.88	$97.72
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $724.44	Professional		$588.84	$724.44	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $125.89	Professional		$51.29	$74.13	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $245.47	Professional		$100.00	$131.83	$245.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $141.25	Professional		$83.18	$109.65	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $229.09	Professional		$77.62	$107.15	$229.09