Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $167.58 / $280.50	Professional		$131.94	$167.58	$280.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $60.45 / $801.00	Professional		$60.45	$60.45	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $214.01 / $972.00 / $972.00	Facility		$214.01	$972.00	$972.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,381.00 / $1,381.00 / $1,381.00	Professional		$1,381.00	$1,381.00	$1,381.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.12 / $261.88 / $391.51	Facility		$164.12	$261.88	$391.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $165.76	Professional		$165.76	$165.76	$165.76