Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $55.87 / $58.82	Facility		$55.87	$55.87	$58.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.37 / $83.37 / $377.33	Facility		$83.37	$83.37	$377.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.56 / $77.56 / $77.56	Facility		$77.56	$77.56	$77.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.05 / $65.81 / $87.08	Professional		$58.05	$65.81	$87.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $73.64 / $128.62	Professional		$54.93	$73.64	$128.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $292.52 / $292.52 / $292.52	Facility		$292.52	$292.52	$292.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.18 / $70.97 / $95.42	Facility		$57.18	$70.97	$95.42