Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $7.50 / $7.50	Facility		$6.77	$7.50	$7.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $75.00 / $75.00	Professional		$72.94	$75.00	$75.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $70.50 / $70.50	Professional		$70.50	$70.50	$70.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.06 / $83.06 / $129.60	Facility		$83.06	$83.06	$129.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $89.79 / $129.60	Professional		$83.06	$89.79	$129.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $90.00 / $100.00	Facility		$65.00	$90.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.06 / $83.06 / $129.60	Facility		$83.06	$83.06	$129.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $120.00 / $129.60	Professional		$83.06	$120.00	$129.60