Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $199.53 / $234.42	Facility		$177.83	$199.53	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $724.44	Facility		$229.09	$288.40	$724.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $281.84	Professional		$125.89	$186.21	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $436.52	Professional		$177.83	$234.42	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $263.03 / $436.52	Facility		$194.98	$263.03	$436.52