Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $4,316.00 / $9,244.00	Facility		$1,500.00	$4,316.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.92 / $492.92 / $615.15	Professional		$492.92	$492.92	$615.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $408.53 / $2,439.88	Professional		$193.60	$408.53	$2,439.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $638.07 / $801.00	Professional		$105.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $409.50 / $4,085.55 / $12,000.00	Facility		$409.50	$4,085.55	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $3,174.88 / $3,174.88	Professional		$952.00	$3,174.88	$3,174.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.20 / $369.54 / $1,005.00	Facility		$263.20	$369.54	$1,005.00