Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $691.83 / $3,019.95	Facility		$588.84	$691.83	$3,019.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $851.14	Professional		$380.19	$630.96	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $1,122.02	Professional		$501.19	$630.96	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $676.08 / $1,047.13	Facility		$478.63	$676.08	$1,047.13