Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $380.19	Professional		$100.00	$120.23	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $123.03	Professional		$97.72	$102.33	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $398.11 / $831.76	Professional		$89.13	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,630.27 / $2,630.27	Facility		$912.01	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $134.90	Professional		$114.82	$128.82	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $724.44	Professional		$295.12	$331.13	$724.44