Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.50 / $127.08 / $150.63	Facility		$108.50	$127.08	$150.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.94 / $163.16 / $429.70	Facility		$134.94	$163.16	$429.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $106.65 / $143.97	Professional		$74.70	$106.65	$143.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $119.47 / $235.00	Professional		$89.60	$119.47	$235.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $212.91 / $523.65 / $523.65	Facility		$212.91	$523.65	$523.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.38 / $137.47 / $214.44	Facility		$96.38	$137.47	$214.44