Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $25.25 / $31.31	Professional		$25.25	$25.25	$31.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $78.73 / $122.32	Professional		$45.34	$78.73	$122.32
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 / $172.62	Facility		$90.00	$90.00	$172.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $128.10 / $245.65 / $245.65	Professional		$128.10	$245.65	$245.65
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 $75.00 / $80.00 / $85.00	Professional		$75.00	$80.00	$85.00