Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.21 / $104.43 / $560.79	Facility		$94.21	$104.43	$560.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.24 / $156.26 / $411.53	Facility		$129.24	$156.26	$411.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $100.00 / $347.22	Facility		$55.40	$100.00	$347.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $100.50 / $134.82	Professional		$79.23	$100.50	$134.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $116.26 / $217.83	Professional		$93.34	$116.26	$217.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $215.91 / $445.07 / $467.83	Facility		$215.91	$445.07	$467.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.06 / $121.56 / $166.43	Facility		$86.06	$121.56	$166.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00