Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $700.00 / $2,678.00	Facility		$378.00	$700.00	$2,678.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,971.71 / $1,971.71 / $2,464.64	Professional		$1,971.71	$1,971.71	$2,464.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.15 / $420.60 / $9,752.99	Professional		$332.15	$420.60	$9,752.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $223.55 / $9,980.60	Facility		$55.00	$223.55	$9,980.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,147.21 / $11,431.36 / $11,431.36	Professional		$3,147.21	$11,431.36	$11,431.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $150.59 / $3,880.94	Facility		$109.87	$150.59	$3,880.94