Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $346.74	Professional		$134.90	$208.93	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,698.24	Professional		$398.11	$630.96	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $512.86	Professional		$489.78	$489.78	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.49 / $245.47	Facility		$109.65	$158.49	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49