Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,604.00 / $9,589.00	Facility		$2,143.00	$4,604.00	$9,589.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.86 / $251.46 / $251.46	Facility		$165.86	$251.46	$251.46