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 $63.71 / $74.15 / $78.78	Professional		$63.71	$74.15	$78.78
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 $56.05 / $80.06 / $111.23	Professional		$56.05	$80.06	$111.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $82.05 / $142.47	Professional		$67.13	$82.05	$142.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $152.41 / $253.75 / $12,103.56	Facility		$152.41	$253.75	$12,103.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32,026.29 / $32,026.29 / $32,026.29	Professional		$32,026.29	$32,026.29	$32,026.29
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 $71.77 / $93.24 / $114.09	Facility		$71.77	$93.24	$114.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $89.05 / $124.85	Professional		$74.59	$89.05	$124.85
United Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $78.66 / $177.44	Professional		$57.14	$78.66	$177.44