Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $109.25 / $1,204.50	Facility		$24.94	$109.25	$1,204.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $293.00 / $876.00	Facility		$33.52	$293.00	$876.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $55.05 / $80.73	Professional		$25.06	$55.05	$80.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $53.16 / $94.19	Professional		$22.86	$53.16	$94.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.20 / $111.82 / $111.82	Facility		$90.20	$111.82	$111.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.20 / $54.97 / $93.08	Facility		$26.20	$54.97	$93.08