Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.46 / $93.04 / $93.04	Facility		$82.46	$93.04	$93.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.09 / $109.00 / $341.39	Facility		$90.09	$109.00	$341.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.46 / $108.46 / $108.46	Facility		$108.46	$108.46	$108.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $108.56 / $133.22	Professional		$98.69	$108.56	$133.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $99.56 / $191.00	Professional		$82.40	$99.56	$191.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $155.40 / $173.91 / $466.08	Facility		$155.40	$173.91	$466.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.46 / $108.61 / $135.36	Facility		$82.46	$108.61	$135.36