Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,136.00 / $3,595.00 / $4,100.00	Facility		$1,136.00	$3,595.00	$4,100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,315.00 / $5,315.00 / $14,971.00	Facility		$2,315.00	$5,315.00	$14,971.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $25,460.00 / $25,460.00 / $25,460.00	Facility		$25,460.00	$25,460.00	$25,460.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,315.00 / $5,315.00 / $14,971.00	Facility		$2,315.00	$5,315.00	$14,971.00