Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $25.81	Professional		$20.65	$20.65	$25.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $90.00 / $90.00	Facility		$44.27	$90.00	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $11.80 / $43.40	Facility		$9.10	$11.80	$43.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52