Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Facility		$2.10	$2.10	$2.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $256.27 / $256.27 / $307.52	Professional		$256.27	$256.27	$307.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $1,100.00	Professional		$393.93	$638.07	$1,100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $134.99	Facility		$100.00	$100.00	$134.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $60.00	Professional		$50.00	$50.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.16 / $3.00	Facility		$2.10	$2.16	$3.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $1,800,000.00 / $2,400,000.00	Professional		$1,800,000.00	$1,800,000.00	$2,400,000.00