Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $44.44 / $55.55	Professional		$44.44	$44.44	$55.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.97 / $101.85 / $192.79	Professional		$53.97	$101.85	$192.79
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 / $245.76	Facility		$90.00	$90.00	$245.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.79 / $364.15 / $364.15	Professional		$125.79	$364.15	$364.15
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 / $80.00	Professional		$75.00	$80.00	$80.00