Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $891.25	Professional		$436.52	$645.65	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $831.76	Professional		$128.82	$257.04	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $389.05 / $562.34	Facility		$234.42	$389.05	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38