Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $57.57 / $71.70	Professional		$57.57	$57.57	$71.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $106.01 / $248.90	Professional		$49.41	$106.01	$248.90
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 $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $304.19 / $304.19	Professional		$116.87	$304.19	$304.19
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 $77.52 / $80.00 / $80.00	Professional		$77.52	$80.00	$80.00