Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $7,362.00 / $14,103.00	Facility		$3,537.00	$7,362.00	$14,103.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,196.96 / $1,196.96 / $1,495.95	Professional		$1,196.96	$1,196.96	$1,495.95
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 $3,045.20 / $11,500.00 / $26,542.00	Facility		$3,045.20	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,041.00 / $8,942.37 / $8,942.37	Professional		$8,041.00	$8,942.37	$8,942.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,462.56 / $1,775.97 / $2,218.82	Facility		$1,462.56	$1,775.97	$2,218.82