Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $63.03 / $75.51	Professional		$63.03	$63.03	$75.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $393.93 / $801.00	Professional		$64.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $179.38 / $279.63	Facility		$134.38	$179.38	$279.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $350.74 / $350.74 / $350.74	Professional		$350.74	$350.74	$350.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $84.32 / $116.75	Facility		$48.00	$84.32	$116.75