Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $9,168.00 / $16,991.00	Facility		$3,908.00	$9,168.00	$16,991.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.59 / $512.59 / $739.27	Professional		$512.59	$512.59	$739.27
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 / $805.95 / $1,458.00	Facility		$55.00	$805.95	$1,458.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,454.00 / $5,454.00 / $5,454.00	Professional		$5,454.00	$5,454.00	$5,454.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $470.26 / $639.00 / $898.50	Facility		$470.26	$639.00	$898.50