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 $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $107.15 / $186.21	Facility		$95.50	$107.15	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $186.21	Professional		$173.78	$173.78	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $181.97	Professional		$91.20	$91.20	$181.97