Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $81.81 / $101.01	Professional		$81.81	$81.81	$101.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $186.22 / $352.49	Professional		$92.73	$186.22	$352.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.19 / $111.19 / $677.00	Facility		$111.19	$111.19	$677.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $418.89 / $418.89	Professional		$317.00	$418.89	$418.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $55.00 / $80.00	Facility		$35.00	$55.00	$80.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $45.00 / $55.00	Professional		$35.00	$45.00	$55.00