Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $9,816.00 / $18,150.00	Facility		$4,204.00	$9,816.00	$18,150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,790.96 / $1,790.96 / $2,582.96	Professional		$1,790.96	$1,790.96	$2,582.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,798.45 / $11,604.80 / $26,542.00	Facility		$2,798.45	$11,604.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,178.67 / $5,178.67 / $5,178.67	Professional		$5,178.67	$5,178.67	$5,178.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $966.76 / $1,411.24 / $2,027.22	Facility		$966.76	$1,411.24	$2,027.22