Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $570.00 / $1,202.00	Facility		$203.00	$570.00	$1,202.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.86 / $354.09 / $423.88	Professional		$285.86	$354.09	$423.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $1,703.88	Facility		$66.90	$100.00	$1,703.88
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 $750.72 / $1,818.36 / $3,356.92	Facility		$750.72	$1,818.36	$3,356.92
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 $30.00 / $60.00 / $85.00	Professional		$30.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $650.50 / $1,653.05 / $3,356.92	Facility		$650.50	$1,653.05	$3,356.92