Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $254.25 / $409.97	Professional		$192.85	$254.25	$409.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $638.07 / $801.00	Professional		$105.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $242.17 / $446.55 / $510.28	Facility		$242.17	$446.55	$510.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,890.00 / $1,890.00 / $1,890.00	Professional		$1,890.00	$1,890.00	$1,890.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.21 / $207.60 / $327.81	Facility		$129.21	$207.60	$327.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $200.64 / $200.64	Professional		$200.64	$200.64	$200.64