Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.24 / $124.24 / $155.55	Professional		$124.24	$124.24	$155.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.68 / $383.80 / $605.04	Professional		$226.68	$383.80	$605.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.06 / $638.07 / $801.00	Professional		$194.06	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $318.89 / $318.89 / $318.89	Facility		$318.89	$318.89	$318.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $657.30 / $657.30	Professional		$623.53	$657.30	$657.30
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 / $100.00	Professional		$80.00	$80.00	$100.00