Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.33 / $44.41 / $253.18	Facility		$41.33	$44.41	$253.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $293.00 / $876.00	Facility		$39.42	$293.00	$876.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $75.84 / $118.83	Facility		$40.29	$75.84	$118.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.27 / $52.00 / $63.81	Professional		$47.27	$52.00	$63.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $49.38 / $99.26	Professional		$39.13	$49.38	$99.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $202.83 / $213.23 / $535.67	Facility		$202.83	$213.23	$535.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.33 / $52.99 / $72.81	Facility		$41.33	$52.99	$72.81
United Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $51.30 / $51.30	Facility		$51.30	$51.30	$51.30