Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $32.63 / $40.79	Professional		$32.63	$32.63	$40.79
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 $99.06 / $99.06 / $100.00	Facility		$99.06	$99.06	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $18.39 / $52.70	Facility		$14.20	$18.39	$52.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Professional		$44.60	$44.60	$44.60