Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $7,311.00 / $14,103.00	Facility		$3,537.00	$7,311.00	$14,103.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.54 / $759.54 / $1,095.43	Professional		$759.54	$759.54	$1,095.43
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 $55.00 / $1,158.26 / $2,185.00	Facility		$55.00	$1,158.26	$2,185.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,854.00 / $4,854.00 / $4,854.00	Professional		$4,854.00	$4,854.00	$4,854.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.08 / $875.26 / $1,282.09	Facility		$673.08	$875.26	$1,282.09