Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.50 / $31.38 / $186.55	Facility	26	$28.50	$31.38	$186.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $80.22 / $118.67	Professional		$66.17	$80.22	$118.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $75.77 / $77.43	Professional		$75.77	$75.77	$77.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $87.36 / $160.40	Professional		$68.56	$87.36	$160.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.05 / $74.77 / $175.90	Professional		$58.05	$74.77	$175.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $105.04 / $253.63	Professional		$68.31	$105.04	$253.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.58 / $112.84 / $138.47	Professional		$102.58	$112.84	$138.47
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $38.47 / $47.21	Professional	26	$34.97	$38.47	$47.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $99.70 / $200.03	Professional		$77.98	$99.70	$200.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.89 / $34.99 / $59.48	Professional	26	$28.89	$34.99	$59.48
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $71.05 / $139.28 / $152.66	Facility	26	$71.05	$139.28	$152.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $655.00 / $669.15	Professional		$655.00	$655.00	$669.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $113.34	Professional		$32.34	$32.34	$113.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $119.16 / $226.87	Professional		$77.40	$119.16	$226.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $274.91 / $274.91 / $274.91	Professional		$274.91	$274.91	$274.91
United Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $84.09 / $231.45	Professional		$60.58	$84.09	$231.45