Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $23.63 / $77.41	Professional		$19.61	$23.63	$77.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $20.09 / $26.58	Professional		$14.06	$20.09	$26.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $75.28 / $90.20	Professional		$14.85	$75.28	$90.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $73.00 / $638.07	Professional		$58.00	$73.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47.67 / $104.46 / $119.13	Facility		$47.67	$104.46	$119.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $139.32 / $193.35	Professional		$139.32	$139.32	$193.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.28 / $28.13 / $35.83	Facility		$19.28	$28.13	$35.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $29.45 / $35.20	Professional		$29.45	$29.45	$35.20
United Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $20.14 / $55.54	Professional		$16.53	$20.14	$55.54