Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $416.87	Professional		$204.17	$302.00	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $257.04 / $831.76	Professional		$104.71	$257.04	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $512.86	Facility		$446.68	$446.68	$512.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $194.98 / $316.23	Facility		$125.89	$194.98	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53