Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $27.67 / $34.59	Professional		$27.67	$27.67	$34.59
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 $90.00 / $96.00 / $100.00	Facility		$90.00	$96.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $15.70 / $56.38	Facility		$12.12	$15.70	$56.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $37.86 / $37.86	Professional		$37.86	$37.86	$37.86