Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,208.00 / $9,816.00 / $18,150.00	Facility		$4,208.00	$9,816.00	$18,150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,504.36 / $1,504.36 / $2,169.62	Professional		$1,504.36	$1,504.36	$2,169.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $4,800.00 / $4,800.00	Professional		$393.93	$4,800.00	$4,800.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,078.87 / $4,352.76	Facility		$55.00	$2,078.87	$4,352.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,159.00 / $7,159.00 / $7,159.00	Professional		$7,159.00	$7,159.00	$7,159.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.90 / $1,411.43 / $2,096.44	Facility		$1,221.90	$1,411.43	$2,096.44