Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,362.00 / $15,328.00	Facility		$2,675.00	$7,362.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.59 / $786.22 / $6,447.05	Professional		$561.59	$786.22	$6,447.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4,618.34 / $8,478.42 / $15,743.39	Facility		$4,618.34	$8,478.42	$15,743.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $100.56	Professional		$40.00	$40.00	$100.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.35 / $813.35 / $1,173.03	Professional		$813.35	$813.35	$1,173.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,316.00 / $12,500.00	Professional		$393.93	$1,316.00	$12,500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,519.00 / $17,519.00 / $17,519.00	Facility		$17,519.00	$17,519.00	$17,519.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.39 / $336.39 / $390.90	Facility		$336.39	$336.39	$390.90
United Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $196.70 / $6,758.40	Professional		$196.70	$196.70	$6,758.40