Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.76 / $484.76 / $528.78	Facility		$484.76	$484.76	$528.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.46 / $675.46 / $764.92	Facility		$675.46	$675.46	$764.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $635.70 / $635.70 / $635.70	Facility		$635.70	$635.70	$635.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $612.36 / $826.69	Professional		$299.00	$612.36	$826.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.53 / $684.71 / $1,427.00	Professional		$513.53	$684.71	$1,427.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,213.71 / $2,511.42 / $2,710.30	Facility		$1,213.71	$2,511.42	$2,710.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $484.76 / $674.40 / $973.10	Facility		$484.76	$674.40	$973.10