Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $18.75	Professional		$15.00	$15.00	$18.75
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 $38.15 / $38.15 / $393.93	Professional		$38.15	$38.15	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $90.00	Facility		$80.00	$90.00	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $11.81 / $11.81	Facility		$11.81	$11.81	$11.81