Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $13.43	Professional		$10.74	$10.74	$13.43
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 $4.72 / $6.12 / $16.30	Facility		$4.72	$6.12	$16.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52