Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $39.39 / $49.49	Professional		$39.39	$39.39	$49.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $143.52 / $195.71	Professional		$96.96	$143.52	$195.71
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 $90.00 / $90.00 / $160.44	Facility		$90.00	$90.00	$160.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $155.79 / $199.08 / $199.08	Professional		$155.79	$199.08	$199.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.77 / $50.01 / $82.15	Facility		$33.77	$50.01	$82.15