Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $21.89 / $27.36	Professional		$21.89	$21.89	$27.36
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 $9.52 / $12.33 / $46.75	Facility		$9.52	$12.33	$46.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $29.56 / $29.56	Professional		$29.56	$29.56	$29.56