Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $25.19 / $31.49	Professional		$25.19	$25.19	$31.49
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 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $14.22 / $53.33	Facility		$10.98	$14.22	$53.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $34.22 / $34.22	Professional		$34.22	$34.22	$34.22