Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $45.31 / $274.39	Facility		$42.29	$45.31	$274.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.80 / $38.45 / $101.27	Facility		$31.80	$38.45	$101.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,596.84	Facility		$63.50	$100.00	$1,596.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $54.67 / $67.09	Professional		$49.70	$54.67	$67.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $54.67 / $132.69	Professional		$40.36	$54.67	$132.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.29 / $195.30 / $215.65	Facility		$99.29	$195.30	$215.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $53.29 / $71.20	Facility		$41.47	$53.29	$71.20