Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $23.75	Professional		$19.00	$19.00	$23.75
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 / $103.00 / $103.00	Facility		$90.00	$103.00	$103.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $10.84 / $34.15	Facility		$8.22	$10.84	$34.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $25.41 / $25.41	Professional		$25.41	$25.41	$25.41