Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,115.00 / $4,576.00 / $9,589.00	Facility		$2,115.00	$4,576.00	$9,589.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.92 / $152.76 / $672.29	Professional		$105.92	$152.76	$672.29
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 $172.44 / $1,912.19 / $12,000.00	Facility		$172.44	$1,912.19	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.00 / $1,368.00 / $1,368.00	Professional		$1,368.00	$1,368.00	$1,368.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.19 / $360.35 / $530.89	Facility		$92.19	$360.35	$530.89