Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $288.40	Professional		$141.25	$190.55	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $630.96 / $1,698.24	Professional		$63.10	$630.96	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $537.03 / $537.03	Facility		$389.05	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $275.42	Facility		$123.03	$194.98	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49