Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $7,309.00 / $15,399.00	Facility		$3,518.00	$7,309.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $306.02 / $529.46	Professional		$106.52	$306.02	$529.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $920.80 / $8,420.96 / $17,398.87	Facility		$920.80	$8,420.96	$17,398.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $178.32 / $231.82	Professional		$62.42	$178.32	$231.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.55 / $193.13 / $303.14	Professional		$168.55	$193.13	$303.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,664.30 / $10,710.95 / $10,710.95	Facility		$1,664.30	$10,710.95	$10,710.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.36 / $1,328.36 / $1,394.85	Professional		$1,328.36	$1,328.36	$1,394.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $213.98 / $263.04	Facility		$171.96	$213.98	$263.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $175.57 / $213.98	Professional		$145.04	$175.57	$213.98
United Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $135.11 / $294.62	Professional		$94.12	$135.11	$294.62