Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $239.88 / $239.88	Facility		$199.53	$239.88	$239.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $213.80 / $331.13	Facility		$134.90	$213.80	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $239.88	Facility		$199.53	$199.53	$239.88