Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $398.11 / $1,698.24	Professional		$91.20	$398.11	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.91 / $60.26	Facility		$15.49	$22.91	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70