Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $12.39 / $15.49	Professional		$12.39	$12.39	$15.49
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 $28.40 / $393.93 / $1,619.00	Professional		$28.40	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.51 / $22.60	Facility		$4.51	$4.51	$22.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $17.11 / $17.11	Professional		$17.11	$17.11	$17.11