Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $614.00 / $2,393.00	Facility		$203.00	$614.00	$2,393.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.86 / $348.61 / $423.88	Professional		$285.86	$348.61	$423.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $396.37 / $893.67	Facility		$97.00	$396.37	$893.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $49.30 / $101.35	Professional		$34.51	$49.30	$101.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.90 / $950.50 / $4,204.00	Facility		$475.90	$950.50	$4,204.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.90 / $1,096.94 / $4,183.00	Facility		$475.90	$1,096.94	$4,183.00
United Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $241.74 / $241.74	Facility		$241.74	$241.74	$241.74