Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $617.00 / $617.00	Facility		$617.00	$617.00	$617.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,509.00 / $1,509.00 / $1,509.00	Facility		$1,509.00	$1,509.00	$1,509.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $4,385.00 / $4,385.00 / $4,385.00	Facility		$4,385.00	$4,385.00	$4,385.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $205.00 / $350.00	Facility		$118.50	$205.00	$350.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,509.00 / $1,509.00 / $1,509.00	Facility		$1,509.00	$1,509.00	$1,509.00