Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.65 / $197.92 / $412.53	Facility		$128.65	$197.92	$412.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $103.88 / $129.85	Professional		$103.88	$103.88	$129.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.05 / $178.05 / $178.05	Facility		$178.05	$178.05	$178.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $74.40 / $74.40	Facility		$74.40	$74.40	$74.40