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 $1,302.02 / $1,302.02 / $1,627.27	Professional		$1,302.02	$1,302.02	$1,627.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.62 / $1,697.91 / $6,434.03	Professional		$804.62	$1,697.91	$6,434.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $638.07 / $801.00	Professional		$134.43	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $876.99 / $4,702.32 / $12,000.00	Facility		$876.99	$4,702.32	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,273.61 / $6,190.86 / $6,324.33	Professional		$2,273.61	$6,190.86	$6,324.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.72 / $505.51 / $2,349.39	Facility		$342.72	$505.51	$2,349.39