Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.70 / $99.79 / $598.65	Facility		$85.70	$99.79	$598.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.84 / $112.25 / $295.63	Facility		$92.84	$112.25	$295.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $116.44 / $116.44 / $157.19	Professional		$116.44	$116.44	$157.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $128.86 / $215.78	Professional		$97.10	$128.86	$215.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $174.95 / $530.24 / $530.24	Facility		$174.95	$530.24	$530.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.84 / $127.01 / $178.05	Facility		$90.84	$127.01	$178.05