Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $117.17 / $146.46	Professional		$117.17	$117.17	$146.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.57 / $387.09 / $577.35	Professional		$277.57	$387.09	$577.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $196.90 / $196.90 / $456.60	Facility		$196.90	$196.90	$456.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $407.79 / $575.40 / $575.40	Professional		$407.79	$575.40	$575.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $479.00 / $719.00 / $719.00	Professional		$479.00	$719.00	$719.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.29 / $139.78 / $215.62	Facility		$88.29	$139.78	$215.62