Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $57.82 / $72.28	Professional		$57.82	$57.82	$72.28
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 $120.11 / $174.54 / $195.00	Facility		$120.11	$174.54	$195.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $33.15 / $104.48	Facility		$25.13	$33.15	$104.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Professional		$78.31	$78.31	$78.31