Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $114.82 / $616.60	Facility	26	$107.15	$114.82	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $1,047.13	Professional		$323.59	$407.38	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $870.96	Professional		$234.42	$338.84	$870.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $758.58	Professional		$263.03	$371.54	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $1,148.15	Professional		$288.40	$501.19	$1,148.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $676.08	Professional		$501.19	$549.54	$676.08
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $134.90 / $165.96	Professional	26	$123.03	$134.90	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $758.58	Professional		$380.19	$457.09	$758.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $112.20 / $186.21	Professional	26	$100.00	$112.20	$186.21
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	26	$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $3,235.94	Professional		$2,570.40	$3,235.94	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $380.19 / $537.03	Professional		$158.49	$380.19	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $1,071.52	Professional		$302.00	$512.86	$1,071.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $933.25	Professional		$251.19	$389.05	$933.25