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 $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $46.77 / $64.57	Facility		$30.90	$46.77	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $93.33	Professional		$87.10	$87.10	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $95.50	Professional		$46.77	$46.77	$95.50