Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $35.25 / $42.23	Professional		$35.25	$35.25	$42.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $638.07 / $801.00	Professional		$54.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $175.00 / $180.00	Facility		$80.37	$175.00	$180.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $192.26 / $192.26 / $192.26	Professional		$192.26	$192.26	$192.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $39.61 / $58.24	Facility		$26.64	$39.61	$58.24