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 $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $16.32 / $60.00	Facility		$12.60	$16.32	$60.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $39.40 / $39.40	Professional		$39.40	$39.40	$39.40