Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $27.26 / $34.08	Professional		$27.26	$27.26	$34.08
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 $90.00 / $92.65 / $92.65	Facility		$90.00	$92.65	$92.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $15.33 / $49.60	Facility		$11.83	$15.33	$49.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $36.82 / $36.82	Professional		$36.82	$36.82	$36.82