Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $31.80 / $39.75	Professional		$31.80	$31.80	$39.75
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 $81.80 / $102.76 / $102.76	Facility		$81.80	$102.76	$102.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $17.64 / $45.50	Facility		$13.91	$17.64	$45.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $43.56 / $43.56	Professional		$43.56	$43.56	$43.56