Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.42 / $493.02 / $493.03	Professional		$394.42	$493.02	$493.03
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 $184.43 / $184.43 / $184.43	Facility		$184.43	$184.43	$184.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $332.86 / $2,057.92 / $2,057.92	Facility		$332.86	$2,057.92	$2,057.92