Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.17 / $1,208.50 / $4,144.50	Facility		$213.17	$1,208.50	$4,144.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $294.33 / $876.00	Facility		$203.00	$294.33	$876.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.88 / $253.88 / $253.88	Facility		$253.88	$253.88	$253.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $193.26 / $242.65 / $327.58	Professional		$193.26	$242.65	$327.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.89 / $269.68 / $510.69	Professional		$200.89	$269.68	$510.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $516.80 / $999.13 / $1,076.40	Facility		$516.80	$999.13	$1,076.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.77 / $279.26 / $441.77	Facility		$217.77	$279.26	$441.77