Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $31.80 / $39.75	Professional		$31.80	$31.80	$39.75
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 / $95.52 / $139.00	Facility		$90.00	$95.52	$139.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $18.18 / $48.45	Facility		$13.79	$18.18	$48.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $43.05 / $43.05	Professional		$43.05	$43.05	$43.05