Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.27 / $534.84 / $668.55	Professional		$504.27	$534.84	$668.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $438.93 / $482.82 / $702.29	Professional		$438.93	$482.82	$702.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $393.93 / $1,619.00	Professional		$267.00	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,508.52 / $1,667.93 / $1,755.72	Facility		$1,508.52	$1,667.93	$1,755.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,194.65 / $2,194.65 / $2,194.65	Professional		$2,194.65	$2,194.65	$2,194.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $610.11 / $610.11 / $677.90	Facility		$610.11	$610.11	$677.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.04 / $493.72 / $602.10	Professional		$395.04	$493.72	$602.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,540.64 / $1,540.64 / $1,540.64	Professional		$1,540.64	$1,540.64	$1,540.64
United Facility/Professional Professional Modifier Low / Median / High Price $188.74 / $307.25 / $781.30	Professional		$188.74	$307.25	$781.30