Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $85.11 / $112.20	Facility		$77.62	$85.11	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $151.36	Facility		$102.33	$120.23	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80