Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 $223.40 / $223.40 / $223.40	Facility		$223.40	$223.40	$223.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $14.09 / $48.97	Facility		$14.09	$14.09	$48.97