Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.79 / $721.02 / $868.40	Professional		$601.79	$721.02	$868.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $450.00 / $638.07	Professional		$192.00	$450.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $410.21 / $602.40 / $602.40	Facility		$410.21	$602.40	$602.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $849.56 / $849.56 / $849.56	Professional		$849.56	$849.56	$849.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $188.00 / $188.00	Facility		$181.00	$188.00	$188.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $188.00	Professional		$188.00	$188.00	$188.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $479.64 / $479.64 / $479.64	Professional		$479.64	$479.64	$479.64