Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.52 / $89.68 / $184.07	Facility		$56.52	$89.68	$184.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $48.89 / $58.58	Professional		$46.59	$48.89	$58.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $65.00 / $638.07	Professional		$37.00	$65.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $208.65 / $208.65	Facility		$100.00	$208.65	$208.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $185.36 / $201.25 / $238.32	Professional		$185.36	$201.25	$238.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Facility		$55.16	$55.16	$55.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $55.16 / $59.58	Professional		$52.96	$55.16	$59.58
United Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $45.45 / $50.90	Professional		$45.45	$45.45	$50.90