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 / $9,589.00	Facility		$2,143.00	$4,617.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.01 / $301.01 / $377.77	Professional		$301.01	$301.01	$377.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $393.93 / $1,619.00	Professional		$120.00	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $644.89 / $2,047.50	Facility		$55.00	$644.89	$2,047.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.29 / $1,434.72 / $1,434.72	Professional		$1,200.29	$1,434.72	$1,434.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.23 / $353.74 / $485.00	Facility		$280.23	$353.74	$485.00