Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $30.98 / $38.72	Professional		$30.98	$30.98	$38.72
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 / $94.35 / $100.00	Facility		$90.00	$94.35	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $17.85 / $53.55	Facility		$13.53	$17.85	$53.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $42.53 / $42.53	Professional		$42.53	$42.53	$42.53