Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $75.75 / $94.94	Professional		$75.75	$75.75	$94.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.43 / $240.56 / $373.48	Professional		$138.43	$240.56	$373.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.84 / $638.07 / $801.00	Professional		$126.84	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $205.30 / $205.30 / $356.10	Facility		$205.30	$205.30	$356.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $401.42 / $414.09 / $414.09	Professional		$401.42	$414.09	$414.09
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 $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $92.12	Professional		$80.00	$80.00	$92.12