Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $32.21 / $40.27	Professional		$32.21	$32.21	$40.27
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 / $97.89 / $100.00	Facility		$90.00	$97.89	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $18.61 / $63.25	Facility		$14.10	$18.61	$63.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $44.08 / $44.08	Professional		$44.08	$44.08	$44.08