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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $40.92 / $49.03	Professional		$40.92	$40.92	$49.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $638.07 / $801.00	Professional		$128.44	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.06 / $103.12 / $118.62	Facility		$76.06	$103.12	$118.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $201.64 / $217.25 / $217.25	Professional		$201.64	$217.25	$217.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $44.56 / $73.70	Facility		$21.96	$44.56	$73.70