Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $831.76	Professional		$128.82	$257.04	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $138.04	Facility		$63.10	$63.10	$138.04