Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $21.21 / $26.26	Professional		$21.21	$21.21	$26.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $64.51 / $101.70	Professional		$38.69	$64.51	$101.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $801.00 / $1,950.00	Professional		$638.07	$801.00	$1,950.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $139.63	Facility		$90.00	$90.00	$139.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $5,919.01 / $5,919.01	Professional		$122.00	$5,919.01	$5,919.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00