Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $8,484.00 / $18,150.00	Facility		$2,456.00	$8,484.00	$18,150.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $2,478.00 / $4,788.00	Professional		$801.00	$2,478.00	$4,788.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,040.33 / $4,919.43	Facility		$55.00	$3,040.33	$4,919.43
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $161.10 / $491.94 / $491.94	Facility	AS	$161.10	$491.94	$491.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,058.27 / $3,058.27 / $3,058.27	Facility		$3,058.27	$3,058.27	$3,058.27
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $456.49 / $456.49 / $456.49	Facility	80	$456.49	$456.49	$456.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $388.02 / $388.02 / $388.02	Facility	AS	$388.02	$388.02	$388.02