Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,958.00 / $13,459.00	Facility		$2,143.00	$4,958.00	$13,459.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,522.50 / $1,522.50 / $1,903.13	Professional		$1,522.50	$1,522.50	$1,903.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,911.06 / $5,653.55 / $7,359.75	Facility		$2,911.06	$5,653.55	$7,359.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,162.39 / $16,162.39 / $16,162.39	Professional		$16,162.39	$16,162.39	$16,162.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,175.42 / $1,584.67 / $1,964.33	Professional		$1,175.42	$1,584.67	$1,964.33