Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.23 / $148.88 / $249.22	Professional		$117.23	$148.88	$249.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $1,619.00	Professional		$393.93	$638.07	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.16 / $292.80 / $292.80	Facility		$86.16	$292.80	$292.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $352.45 / $361.01 / $361.01	Professional		$352.45	$361.01	$361.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.73 / $122.40 / $165.69	Facility		$58.73	$122.40	$165.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $115.70 / $115.70	Professional		$115.70	$115.70	$115.70