Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.15 / $39.90 / $81.91	Facility		$25.15	$39.90	$81.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $22.14 / $26.53	Professional		$22.13	$22.14	$26.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $89.00 / $638.07	Professional		$50.00	$89.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $148.35 / $148.35	Facility		$100.00	$148.35	$148.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $832.44 / $832.44 / $832.44	Professional		$832.44	$832.44	$832.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $22.43 / $22.43	Facility		$22.43	$22.43	$22.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $22.43 / $29.85	Professional		$22.43	$22.43	$29.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $52.81 / $52.81	Professional		$52.81	$52.81	$52.81