Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $11,780.00 / $21,623.00	Facility		$4,644.00	$11,780.00	$21,623.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,710.22 / $2,710.22 / $3,908.75	Professional		$2,710.22	$2,710.22	$3,908.75
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 / $1,984.37 / $6,604.80	Facility		$55.00	$1,984.37	$6,604.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,314.60 / $8,314.60 / $8,314.60	Professional		$8,314.60	$8,314.60	$8,314.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,005.19 / $2,295.00 / $3,074.05	Facility		$2,005.19	$2,295.00	$3,074.05