Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.45 / $28.16 / $164.44	Facility	26	$25.45	$28.16	$164.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $172.48 / $279.49	Professional		$138.94	$172.48	$279.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.93 / $147.93 / $147.93	Professional		$147.93	$147.93	$147.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $161.49 / $306.83	Professional		$102.97	$161.49	$306.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $134.05 / $319.22	Professional		$96.23	$134.05	$319.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $189.56 / $486.51	Professional		$94.42	$189.56	$486.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $107.48 / $274.68	Professional		$84.75	$107.48	$274.68
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.45 / $44.75 / $55.94	Professional	26	$30.45	$44.75	$55.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.85 / $191.43 / $332.40	Professional		$151.85	$191.43	$332.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.25 / $30.76 / $55.02	Professional	26	$25.25	$30.76	$55.02
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $62.95 / $122.62 / $133.66	Facility	26	$62.95	$122.62	$133.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.08 / $1,185.08 / $1,295.09	Professional		$1,185.08	$1,185.08	$1,295.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $238.69	Professional		$32.34	$32.34	$238.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.65 / $241.56 / $484.86	Professional		$105.65	$241.56	$484.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $469.36 / $469.36 / $469.36	Professional		$469.36	$469.36	$469.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $170.19 / $226.27	Professional		$107.48	$170.19	$226.27
United Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $149.63 / $433.63	Professional		$104.09	$149.63	$433.63