Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.00 / $3,899.00 / $9,274.00	Facility		$470.00	$3,899.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.48 / $248.48 / $310.10	Professional		$248.48	$248.48	$310.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $232.71 / $1,224.83	Professional		$183.77	$232.71	$1,224.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $124.73 / $137.33 / $445.41	Facility		$124.73	$137.33	$445.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $591.10 / $1,108.72 / $1,209.40	Professional		$591.10	$1,108.72	$1,209.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $281.88 / $517.24	Facility		$58.49	$281.88	$517.24