Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $269.00 / $376.00	Facility		$121.00	$269.00	$376.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $24.24 / $30.30	Professional		$24.24	$24.24	$30.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $21.47 / $26.48	Professional		$17.92	$21.47	$26.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $393.93 / $801.00	Professional		$28.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $90.00 / $99.16	Facility		$78.94	$90.00	$99.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $106.16 / $125.69 / $125.69	Professional		$106.16	$125.69	$125.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $30.83 / $30.83	Professional		$30.83	$30.83	$30.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $29.91 / $47.45	Facility		$22.48	$29.91	$47.45