Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $764.00	Facility		$38.00	$41.00	$764.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $67.04 / $157.18	Professional		$37.97	$67.04	$157.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $100.00 / $337.20	Professional		$80.00	$100.00	$337.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Facility		$180.00	$180.00	$180.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.95 / $3,800.00 / $4,100.00	Facility		$271.95	$3,800.00	$4,100.00