Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $36.34 / $45.43	Professional		$34.28	$36.34	$45.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $32.90 / $99.00	Professional		$29.92	$32.90	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $61.00 / $393.93	Professional		$22.00	$61.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $195.75 / $195.75	Facility		$90.00	$195.75	$195.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.59 / $41.59 / $41.59	Facility		$41.59	$41.59	$41.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $29.34 / $32.90	Professional		$23.04	$29.34	$32.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $105.01 / $105.01 / $105.01	Professional		$105.01	$105.01	$105.01