Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $79.62 / $128.38	Professional		$60.39	$79.62	$128.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $110.00 / $270.00	Professional		$41.80	$110.00	$270.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $359.91 / $359.91	Facility		$121.00	$359.91	$359.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $321.69 / $331.34 / $331.34	Professional		$321.69	$331.34	$331.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.76 / $77.76 / $96.36	Facility		$77.76	$77.76	$96.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $88.99 / $107.82	Professional		$63.60	$88.99	$107.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $131.26 / $131.26 / $131.26	Professional		$131.26	$131.26	$131.26
United Facility/Professional Facility Modifier Low / Median / High Price $346.50 / $346.50 / $346.50	Facility		$346.50	$346.50	$346.50