Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $9,596.00 / $18,903.00	Facility		$2,415.00	$9,596.00	$18,903.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,330.73 / $5,601.55 / $6,711.29	Professional		$2,330.73	$5,601.55	$6,711.29
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 $55.00 / $4,156.71 / $5,661.36	Facility		$55.00	$4,156.71	$5,661.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,378.98 / $7,378.98 / $7,378.98	Professional		$7,378.98	$7,378.98	$7,378.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00