Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $1,924.00 / $1,924.00	Facility		$1,924.00	$1,924.00	$1,924.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $195.00 / $350.00	Facility		$100.00	$195.00	$350.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $1,924.00 / $1,924.00	Facility		$1,924.00	$1,924.00	$1,924.00