Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $200.45 / $335.53	Professional		$167.30	$200.45	$335.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $192.60 / $398.71 / $625.83	Facility		$192.60	$398.71	$625.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $921.00 / $921.00 / $921.00	Professional		$921.00	$921.00	$921.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.23 / $171.86 / $305.64	Facility		$115.23	$171.86	$305.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.93 / $277.93 / $277.93	Professional		$277.93	$277.93	$277.93