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 $86.77 / $90.00 / $90.00	Facility		$86.77	$90.00	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.62 / $193.62 / $196.79	Facility		$193.62	$193.62	$196.79