Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $19.62	Professional		$15.69	$15.69	$19.62
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 $6.77 / $8.58 / $23.20	Facility		$6.77	$8.58	$23.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $21.26 / $21.26	Professional		$21.26	$21.26	$21.26