Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $38.57 / $114.74	Professional		$31.79	$38.57	$114.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $30.34 / $40.08	Professional		$21.24	$30.34	$40.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $123.08 / $147.46	Professional		$24.28	$123.08	$147.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $92.00 / $638.07	Professional		$72.00	$92.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $182.97 / $193.94	Facility		$77.70	$182.97	$193.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $231.03 / $231.03 / $312.75	Professional		$231.03	$231.03	$312.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $479.00	Professional		$60.00	$60.00	$479.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.09 / $46.10 / $59.54	Facility		$29.09	$46.10	$59.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $48.92 / $58.85	Professional		$48.92	$48.92	$58.85
United Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $33.65 / $91.40	Professional		$26.93	$33.65	$91.40