Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $57.54	Professional		$48.98	$48.98	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $154.88	Professional		$33.88	$52.48	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $44.67	Professional		$17.78	$17.78	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $44.67 / $66.07	Facility		$41.69	$44.67	$66.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $64.57	Professional		$51.29	$51.29	$64.57