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 $265.54 / $421.77 / $636.49	Professional		$265.54	$421.77	$636.49
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 $276.49 / $333.72 / $455.90	Facility		$276.49	$333.72	$455.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $255.69 / $257.45 / $278.10	Professional		$255.69	$257.45	$278.10