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 $22.85 / $29.94 / $96.61	Professional		$22.85	$29.94	$96.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $142.10 / $314.14	Facility		$97.00	$142.10	$314.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.62 / $223.75 / $626.51	Facility		$101.62	$223.75	$626.51
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 $88.86 / $223.75 / $626.51	Facility		$88.86	$223.75	$626.51