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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.40 / $3.72	Facility		$2.00	$2.40	$3.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.79	Professional		$4.47	$4.47	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $4.90	Professional		$2.40	$2.40	$4.90