Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $128.82	Professional		$63.10	$85.11	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $630.96 / $1,698.24	Professional		$52.48	$630.96	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $269.15 / $269.15	Facility		$181.97	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $67.61 / $97.72	Facility		$47.86	$67.61	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61