Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,447.00 / $19,298.00	Facility		$2,616.00	$9,447.00	$19,298.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $4,114.00 / $7,948.00	Professional		$801.00	$4,114.00	$7,948.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,870.90 / $6,265.25	Facility		$55.00	$3,870.90	$6,265.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $205.23 / $626.53 / $626.53	Facility	AS	$205.23	$626.53	$626.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,892.34 / $3,892.34 / $3,892.34	Facility		$3,892.34	$3,892.34	$3,892.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $492.86 / $492.86 / $492.86	Facility	AS	$492.86	$492.86	$492.86