Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $52.48 / $302.00	Facility	26	$46.77	$52.48	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $549.54	Professional		$169.82	$204.17	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $1,995.26	Professional		$190.55	$331.13	$1,995.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $407.38	Professional		$138.04	$194.98	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $562.34	Professional		$151.36	$251.19	$562.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $331.13	Professional		$112.20	$165.96	$331.13
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $63.10 / $85.11	Professional	26	$54.95	$63.10	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $416.87	Professional		$204.17	$239.88	$416.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $57.54 / $97.72	Professional	26	$51.29	$57.54	$97.72
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,513.56	Professional		$1,318.26	$1,513.56	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $186.21 / $257.04	Professional		$74.13	$186.21	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $537.03	Professional		$158.49	$263.03	$537.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $346.74	Professional		$141.25	$239.88	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $489.78	Professional		$134.90	$204.17	$489.78