Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $100.00	Professional		$48.98	$66.07	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $398.11 / $1,698.24	Professional		$19.50	$398.11	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $269.15	Facility		$162.18	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $48.98 / $72.44	Facility		$32.36	$48.98	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48