Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.60 / $22.91	Facility		$14.13	$16.60	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $134.90	Facility		$89.13	$89.13	$134.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $134.90	Professional		$107.15	$107.15	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $25.70 / $114.82	Facility		$14.79	$25.70	$114.82