Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $91.27 / $114.09	Professional		$91.27	$91.27	$114.09
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 $191.03 / $268.30 / $268.30	Facility		$191.03	$268.30	$268.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $51.79 / $146.19	Facility		$41.64	$51.79	$146.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $112.54 / $112.54	Professional		$112.54	$112.54	$112.54