Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $250.00 / $250.00	Professional		$225.00	$250.00	$250.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $638.07 / $801.00	Professional		$80.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $630.00	Facility		$90.00	$90.00	$630.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $258.39 / $264.18	Professional		$204.00	$258.39	$264.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $52.00	Facility		$48.00	$48.00	$52.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $52.00 / $52.00	Professional		$36.00	$52.00	$52.00