Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $11,780.00 / $21,623.00	Facility		$4,644.00	$11,780.00	$21,623.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,052.63 / $2,052.63 / $2,960.36	Professional		$2,052.63	$2,052.63	$2,960.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $4,750.00 / $17,033.14	Professional		$500.00	$4,750.00	$17,033.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,018.94 / $5,184.27	Facility		$55.00	$2,018.94	$5,184.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,636.00 / $13,636.00 / $13,636.00	Professional		$13,636.00	$13,636.00	$13,636.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,703.72 / $2,231.71 / $2,867.00	Facility		$1,703.72	$2,231.71	$2,867.00