Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $28.84 / $36.31	Facility		$22.91	$28.84	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $39.81	Professional		$37.15	$37.15	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $40.74	Professional		$19.95	$19.95	$40.74