Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.43 / $389.90 / $469.59	Professional		$325.43	$389.90	$469.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $450.00 / $801.00	Professional		$250.00	$450.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $222.62 / $600.00 / $600.00	Facility		$222.62	$600.00	$600.00
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 $97.00 / $101.00 / $101.00	Facility		$97.00	$101.00	$101.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $258.25 / $258.25 / $258.25	Professional		$258.25	$258.25	$258.25
United Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $96.00 / $96.00	Professional		$96.00	$96.00	$96.00