Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $11,456.00	Facility		$2,160.00	$5,944.00	$11,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $393.93	Professional		$350.00	$350.00	$393.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,785.33 / $1,785.33 / $1,785.33	Facility		$1,785.33	$1,785.33	$1,785.33