Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $26.43 / $33.04	Professional		$26.43	$26.43	$33.04
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 / $160.00	Facility		$90.00	$90.00	$160.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $14.95 / $48.05	Facility		$11.54	$14.95	$48.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $36.29 / $36.29	Professional		$36.29	$36.29	$36.29