Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $124.26	Professional		$53.00	$53.00	$124.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $81.59	Professional		$81.59	$81.59	$81.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $133.00 / $393.93	Professional		$120.00	$133.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $146.62 / $308.68 / $578.78	Facility		$146.62	$308.68	$578.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $81.59	Professional		$81.59	$81.59	$81.59
United Facility/Professional Professional Modifier Low / Median / High Price $388.80 / $388.80 / $388.80	Professional		$388.80	$388.80	$388.80