Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $53.33 / $67.06	Professional		$53.33	$53.33	$67.06
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 $210.87 / $627.09 / $627.09	Facility		$210.87	$627.09	$627.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,261.94 / $1,261.94 / $1,261.94	Professional		$1,261.94	$1,261.94	$1,261.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $263.27 / $435.43	Facility		$107.78	$263.27	$435.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.57 / $303.57 / $303.57	Professional		$303.57	$303.57	$303.57