Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $190.55	Facility		$60.26	$75.86	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Professional		$2.51	$2.51	$2.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $630.96	Professional		$125.89	$138.04	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79