Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $467.74 / $10,000.00	Professional		$199.53	$467.74	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,288.25	Professional		$933.25	$1,288.25	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $281.84 / $346.74	Professional		$263.03	$281.84	$346.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $218.78 / $467.74	Professional		$89.13	$218.78	$467.74