Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $22.00 / $22.00	Facility		$20.00	$22.00	$22.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $23.75 / $38.00	Professional		$17.00	$23.75	$38.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $24.00	Professional		$20.00	$20.00	$24.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $638.07 / $801.00	Professional		$22.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44.34 / $122.12 / $126.59	Facility		$44.34	$122.12	$126.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $149.71 / $195.15	Professional		$149.71	$149.71	$195.15
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 $19.98 / $29.27 / $41.28	Facility		$19.98	$29.27	$41.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $26.65	Professional		$18.97	$18.97	$26.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $30.00 / $34.00	Professional		$20.00	$30.00	$34.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $27.00 / $86.28	Professional		$20.95	$27.00	$86.28