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 $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $354.81	Facility		$120.23	$120.23	$354.81