Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $42.66	Professional		$33.88	$33.88	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,698.24	Professional		$398.11	$398.11	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $151.36	Facility		$102.33	$102.33	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.05 / $69.18	Facility		$14.79	$19.05	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71