Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.88 / $28.45 / $161.25	Facility	26	$25.88	$28.45	$161.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $157.71 / $238.69	Professional		$122.74	$157.71	$238.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $150.81 / $294.35	Professional		$100.51	$150.81	$294.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $130.94 / $311.88	Professional		$94.00	$130.94	$311.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.14 / $177.20 / $435.96	Professional		$93.14	$177.20	$435.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.15 / $147.78 / $250.94	Professional		$123.15	$147.78	$250.94
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.39 / $54.19 / $77.89	Professional	26	$29.39	$54.19	$77.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $175.04 / $312.00	Professional		$138.90	$175.04	$312.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.36 / $29.70 / $53.09	Professional	26	$24.36	$29.70	$53.09
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $61.36 / $118.08 / $128.91	Facility	26	$61.36	$118.08	$128.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,025.66 / $1,025.66 / $1,183.58	Professional		$1,025.66	$1,025.66	$1,183.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $214.04	Professional		$32.34	$32.34	$214.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $218.52 / $426.79	Professional		$103.94	$218.52	$426.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $447.07 / $447.07 / $447.07	Professional		$447.07	$447.07	$447.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.78 / $197.84 / $264.97	Professional		$147.78	$197.84	$264.97
United Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $142.88 / $387.67	Professional		$101.52	$142.88	$387.67