Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $253.45 / $531.05	Professional		$138.99	$253.45	$531.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.14 / $55.50 / $93.82	Facility		$36.14	$55.50	$93.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.90 / $364.85 / $417.19	Facility		$167.90	$364.85	$417.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $515.54 / $515.54 / $673.58	Professional		$515.54	$515.54	$673.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $105.40 / $135.77	Facility		$88.31	$105.40	$135.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $87.83 / $109.17	Professional		$82.65	$87.83	$109.17
United Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $89.17 / $180.63	Professional		$65.59	$89.17	$180.63