Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $30.56 / $38.20	Professional		$30.56	$30.56	$38.20
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 $97.30 / $158.10 / $158.10	Facility		$97.30	$158.10	$158.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $16.96 / $53.92	Facility		$12.03	$16.96	$53.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $42.01 / $42.01	Professional		$42.01	$42.01	$42.01