Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,145.00 / $4,604.00 / $9,274.00	Facility		$2,145.00	$4,604.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $92.92 / $115.15	Professional		$92.92	$92.92	$115.15
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 / $106.18 / $109.37	Facility		$55.00	$106.18	$109.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $187.53 / $474.21 / $488.43	Professional		$187.53	$474.21	$488.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $74.53 / $174.76	Professional		$33.06	$74.53	$174.76