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 / $4,710.00 / $9,100.00	Professional		$801.00	$4,710.00	$9,100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,436.09 / $7,191.61	Facility		$55.00	$4,436.09	$7,191.61
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $235.43 / $719.16 / $719.16	Facility	AS	$235.43	$719.16	$719.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,468.13 / $4,468.13 / $4,468.13	Facility		$4,468.13	$4,468.13	$4,468.13
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $664.76 / $664.76 / $664.76	Facility	80	$664.76	$664.76	$664.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $565.04 / $565.04 / $565.04	Facility	AS	$565.04	$565.04	$565.04