Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,140.00 / $9,899.00 / $19,158.00	Facility		$4,140.00	$9,899.00	$19,158.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $568.00 / $568.00	Facility		$568.00	$568.00	$568.00