Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $55.34 / $69.18	Professional		$55.34	$55.34	$69.18
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 $115.31 / $167.46 / $167.46	Facility		$115.31	$167.46	$167.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $30.59 / $86.27	Facility		$21.71	$30.59	$86.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $75.20 / $75.20	Professional		$75.20	$75.20	$75.20