Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $67.73 / $84.67	Professional		$67.73	$67.73	$84.67
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 $102.24 / $204.03 / $204.03	Facility		$102.24	$204.03	$204.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $38.84 / $102.00	Facility		$29.44	$38.84	$102.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $91.79 / $91.79	Professional		$91.79	$91.79	$91.79