Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.20 / $250.20 / $312.75	Professional		$250.20	$250.20	$312.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $127.33 / $831.60 / $1,524.13	Facility		$127.33	$831.60	$1,524.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,807.00 / $5,807.00 / $5,807.00	Professional		$5,807.00	$5,807.00	$5,807.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.40 / $1,041.63 / $1,630.18	Facility		$147.40	$1,041.63	$1,630.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $146.04 / $146.04	Professional		$146.04	$146.04	$146.04