Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,115.00 / $4,576.00 / $9,589.00	Facility		$2,115.00	$4,576.00	$9,589.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $165.83 / $1,172.22	Professional		$114.98	$165.83	$1,172.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $185.43 / $11,500.00 / $12,000.00	Facility		$185.43	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,284.00 / $4,284.00 / $4,284.00	Professional		$4,284.00	$4,284.00	$4,284.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $103.82 / $915.24	Facility		$32.38	$103.82	$915.24