Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,570.88 / $10,000.00	Facility		$2,238.72	$4,570.88	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,023.29	Professional		$831.76	$831.76	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $3,890.45	Professional		$562.34	$870.96	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $281.84 / $831.76	Professional		$104.71	$281.84	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,818.38 / $2,818.38	Facility		$56.23	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,890.45	Professional		$3,548.13	$3,548.13	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $933.25 / $1,737.80	Facility		$245.47	$933.25	$1,737.80