Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.84 / $88.87 / $514.83	Facility	26	$79.84	$88.87	$514.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $154.80 / $319.69	Professional		$130.29	$154.80	$319.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.09 / $140.09 / $143.97	Professional		$140.09	$140.09	$143.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $203.82 / $416.27	Professional		$132.13	$203.82	$416.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $139.40 / $333.24	Professional		$100.00	$139.40	$333.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.04 / $205.97 / $462.19	Professional		$155.04	$205.97	$462.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $180.74 / $244.00	Professional		$128.82	$180.74	$244.00
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $73.43 / $95.08 / $128.36	Professional	26	$73.43	$95.08	$128.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $179.72 / $326.39	Professional		$140.54	$179.72	$326.39
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $78.84 / $96.06 / $171.75	Professional	26	$78.84	$96.06	$171.75
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $198.06 / $383.01 / $417.53	Facility	26	$198.06	$383.01	$417.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $956.27 / $956.27 / $1,216.95	Professional		$956.27	$956.27	$1,216.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $211.27	Professional		$32.34	$32.34	$211.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.77 / $229.59 / $413.06	Professional		$160.77	$229.59	$413.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $497.32 / $497.32 / $497.32	Professional		$497.32	$497.32	$497.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $167.47 / $219.00	Professional		$146.13	$167.47	$219.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $167.67 / $406.67	Professional		$119.28	$167.67	$406.67