Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $28.91 / $36.14	Professional		$28.91	$28.91	$36.14
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 $136.94 / $174.12 / $174.12	Facility		$136.94	$174.12	$174.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $16.47 / $56.00	Facility		$12.72	$16.47	$56.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $39.93 / $39.93	Professional		$39.93	$39.93	$39.93