Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $85.11	Professional		$41.69	$56.23	$85.11
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 $109.65 / $234.42 / $234.42	Facility		$109.65	$234.42	$234.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $45.71 / $69.18	Facility		$32.36	$45.71	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81