Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $851.14 / $3,630.78	Facility		$707.95	$851.14	$3,630.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $977.24	Professional		$457.09	$724.44	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,778.28	Professional		$588.84	$724.44	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $1,230.27	Facility		$562.34	$794.33	$1,230.27