Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.53 / $302.93 / $507.07	Professional		$238.53	$302.93	$507.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $143.33 / $801.00	Professional		$143.33	$143.33	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,326.85 / $1,600.36 / $2,025.75	Facility		$1,326.85	$1,600.36	$2,025.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,521.23 / $2,521.23 / $2,521.23	Professional		$2,521.23	$2,521.23	$2,521.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.20 / $689.63 / $893.06	Facility		$312.20	$689.63	$893.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.33 / $351.33 / $351.33	Professional		$351.33	$351.33	$351.33