Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $5,944.00 / $11,456.00	Facility		$2,275.00	$5,944.00	$11,456.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.65 / $1,110.10 / $1,494.51	Professional		$876.65	$1,110.10	$1,494.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $568.24 / $3,087.20 / $16,394.00	Facility		$568.24	$3,087.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,313.00 / $1,408.12 / $1,530.66	Professional		$1,313.00	$1,408.12	$1,530.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00