Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $8,484.00 / $16,838.00	Facility		$2,143.00	$8,484.00	$16,838.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,134.50 / $2,726.59 / $3,266.76	Professional		$1,134.50	$2,726.59	$3,266.76
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 $1,774.27 / $6,067.40 / $26,542.00	Facility		$1,774.27	$6,067.40	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,066.00 / $5,066.00 / $5,066.00	Professional		$5,066.00	$5,066.00	$5,066.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $768.20 / $986.15 / $1,588.60	Facility		$768.20	$986.15	$1,588.60