Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $104.71	Professional		$83.18	$87.10	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $831.76	Professional		$128.82	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $398.11	Professional		$234.42	$234.42	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $100.00 / $128.82	Facility		$81.28	$100.00	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $2,398,832.92	Professional		$181.97	$199.53	$2,398,832.92
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $114.82	Professional		$97.72	$97.72	$114.82