Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $65.67 / $82.09	Professional		$65.67	$65.67	$82.09
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 $116.00 / $199.32 / $199.32	Facility		$116.00	$199.32	$199.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $37.18 / $97.83	Facility		$28.70	$37.18	$97.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $89.72 / $89.72	Professional		$89.72	$89.72	$89.72