Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $89.89 / $111.11	Professional		$89.89	$89.89	$111.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.82 / $269.63 / $389.90	Professional		$163.82	$269.63	$389.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $638.07 / $801.00	Professional		$141.80	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $209.06 / $209.06 / $427.68	Facility		$209.06	$209.06	$427.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.58 / $2,940.00 / $2,940.00	Professional		$398.58	$2,940.00	$2,940.00
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 / $102.23	Professional		$80.00	$80.00	$102.23