Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $181.97	Facility		$138.04	$162.18	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $234.42 / $588.84	Facility		$186.21	$234.42	$588.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $213.80	Professional		$102.33	$154.88	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $323.59	Professional		$134.90	$177.83	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $204.17 / $346.74	Facility		$147.91	$204.17	$346.74