Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $151.36	Facility		$102.33	$120.23	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17