Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $69.18	Professional		$54.95	$54.95	$69.18
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 $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.90 / $81.28	Facility		$21.88	$30.90	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86