Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $194.98	Professional		$95.50	$128.82	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $630.96 / $1,698.24	Professional		$40.74	$630.96	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $302.00	Professional		$275.42	$275.42	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $85.11 / $134.90	Facility		$57.54	$85.11	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33