Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $154.88	Facility		$144.54	$144.54	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $229.09	Professional		$131.83	$186.21	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $251.19	Professional		$134.90	$173.78	$251.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $190.55	Professional		$72.44	$102.33	$190.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $954.99	Professional		$912.01	$912.01	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $398.11	Professional		$141.25	$141.25	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $1,995.26	Professional		$1,318.26	$1,995.26	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $275.42 / $380.19	Facility		$158.49	$275.42	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $245.47 / $338.84	Professional		$79.43	$245.47	$338.84