Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $40.47 / $50.59	Professional		$40.47	$40.47	$50.59
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 $85.92 / $122.67 / $122.67	Facility		$85.92	$122.67	$122.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $22.90 / $62.00	Facility		$17.67	$22.90	$62.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $54.97 / $54.97	Professional		$54.97	$54.97	$54.97