Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $114.18 / $142.72	Professional		$114.18	$114.18	$142.72
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 $125.28 / $206.48 / $290.49	Facility		$125.28	$206.48	$290.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $401.49 / $401.49 / $401.49	Professional		$401.49	$401.49	$401.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $65.40 / $161.13	Facility		$43.82	$65.40	$161.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $108.99 / $108.99	Professional		$108.99	$108.99	$108.99