Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,718.00 / $9,589.00	Facility		$2,143.00	$4,718.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $97.97 / $122.22	Professional		$97.97	$97.97	$122.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $190.58 / $424.43	Professional		$79.30	$190.58	$424.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $22.80 / $801.00	Professional		$22.80	$22.80	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $139.36 / $2,922.50	Facility		$55.00	$139.36	$2,922.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $1,397.77 / $1,397.77	Professional		$816.00	$1,397.77	$1,397.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.34 / $90.08 / $228.11	Facility		$32.34	$90.08	$228.11