Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $37.17 / $46.46	Professional		$37.17	$37.17	$46.46
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 $79.16 / $113.22 / $113.22	Facility		$79.16	$113.22	$113.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $20.64 / $75.00	Facility		$16.28	$20.64	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $50.82 / $50.82	Professional		$50.82	$50.82	$50.82