Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.79 / $169.74 / $169.74	Facility		$100.79	$169.74	$169.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $330.05 / $356.22 / $356.22	Professional		$330.05	$356.22	$356.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $263.20 / $275.50	Professional		$263.20	$263.20	$275.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $37.78 / $106.81	Professional		$36.76	$37.78	$106.81