Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,617.00 / $9,381.00	Facility		$2,143.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $984.30 / $3,614.07	Professional		$157.66	$984.30	$3,614.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $643.29 / $1,310.27 / $2,303.92	Facility		$643.29	$1,310.27	$2,303.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
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 $15.90 / $19.05 / $25.15	Facility		$15.90	$19.05	$25.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $15.28 / $15.79	Professional		$15.17	$15.28	$15.79