Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,687.00 / $4,580.00 / $6,945.00	Facility		$1,687.00	$4,580.00	$6,945.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,000.00 / $13,000.00 / $13,000.00	Facility		$13,000.00	$13,000.00	$13,000.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,524.85 / $4,203.68 / $12,215.78	Facility		$1,524.85	$4,203.68	$12,215.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,130.00 / $2,130.00 / $2,130.00	Facility		$2,130.00	$2,130.00	$2,130.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13,000.00 / $13,000.00 / $13,000.00	Facility		$13,000.00	$13,000.00	$13,000.00