Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.87 / $531.80 / $640.51	Professional		$443.87	$531.80	$640.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $450.00 / $650.00	Professional		$300.00	$450.00	$650.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.61 / $472.22 / $472.22	Facility		$302.61	$472.22	$472.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $626.71 / $626.71 / $626.71	Professional		$626.71	$626.71	$626.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $139.00 / $139.00	Facility		$133.00	$139.00	$139.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $139.00 / $139.00	Professional		$139.00	$139.00	$139.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $352.45 / $352.45 / $352.45	Professional		$352.45	$352.45	$352.45