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 $86.29 / $123.84 / $123.84	Facility		$86.29	$123.84	$123.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $22.49 / $62.00	Facility		$17.73	$22.49	$62.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $55.49 / $55.49	Professional		$55.49	$55.49	$55.49