Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $1,537.00 / $4,047.00	Facility		$851.00	$1,537.00	$4,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,447.01 / $1,529.38 / $1,832.37	Professional		$1,447.01	$1,529.38	$1,832.37
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 $545.16 / $1,634.50 / $5,000.00	Facility		$545.16	$1,634.50	$5,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,127.76 / $4,127.76 / $4,127.76	Professional		$4,127.76	$4,127.76	$4,127.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $502.85 / $624.76 / $920.55	Facility		$502.85	$624.76	$920.55