Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
The Alliance Facility/Professional Facility Modifier Low / Median / High Price $289.52 / $351.21 / $372.03	Facility		$289.52	$351.21	$372.03