Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $25.61 / $32.01	Professional		$25.61	$25.61	$32.01
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 $70.00 / $90.00 / $90.00	Facility		$70.00	$90.00	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $14.51 / $43.14	Facility		$11.20	$14.51	$43.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $34.75 / $34.75	Professional		$34.75	$34.75	$34.75