Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.68 / $289.56 / $348.74	Professional		$241.68	$289.56	$348.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $393.93 / $1,619.00	Professional		$81.00	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $161.29 / $341.79 / $341.79	Facility		$161.29	$341.79	$341.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $75.00 / $75.00	Facility		$72.00	$75.00	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $189.38 / $189.38	Professional		$189.38	$189.38	$189.38
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $98.76 / $146.76	Professional		$50.40	$98.76	$146.76