Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,445.00 / $8,905.00 / $16,846.00	Facility		$3,445.00	$8,905.00	$16,846.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $393.93 / $1,619.00	Professional		$135.00	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,787.40 / $11,500.00 / $26,542.00	Facility		$1,787.40	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,246.00 / $4,246.00 / $4,246.00	Professional		$4,246.00	$4,246.00	$4,246.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $877.19 / $1,091.18 / $1,571.08	Facility		$877.19	$1,091.18	$1,571.08