Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $3,491.00 / $5,911.00	Facility		$260.00	$3,491.00	$5,911.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $66.95 / $78.55	Professional		$54.64	$66.95	$78.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $194.48 / $909.66 / $1,802.10	Facility		$194.48	$909.66	$1,802.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $32.57 / $94.11	Professional		$22.80	$32.57	$94.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $34.50 / $58.63	Professional		$28.34	$34.50	$58.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $127.90 / $275.12	Facility		$85.00	$127.90	$275.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $363.86 / $363.86 / $363.86	Professional		$363.86	$363.86	$363.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.00 / $85.00	Professional		$32.34	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.31 / $38.42 / $47.01	Facility		$29.31	$38.42	$47.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $37.20 / $52.89	Professional		$31.49	$37.20	$52.89
United Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $62.89 / $145.99	Professional		$44.20	$62.89	$145.99