Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $141.25 / $398.11	Facility		$38.02	$141.25	$398.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $109.65	Professional		$26.92	$46.77	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $85.11	Professional		$30.20	$45.71	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $3,630.78 / $5,623.41	Facility		$87.10	$3,630.78	$5,623.41