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 $408.37 / $577.73 / $833.21	Professional		$408.37	$577.73	$833.21
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 $55.00 / $642.13 / $775.50	Facility		$55.00	$642.13	$775.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,241.70 / $1,798.60 / $2,352.54	Professional		$1,241.70	$1,798.60	$2,352.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $375.58 / $661.05	Facility		$105.00	$375.58	$661.05