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 $667.60 / $934.64 / $7,664.04	Professional		$667.60	$934.64	$7,664.04
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
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,541.00 / $12,500.00	Professional		$393.93	$1,541.00	$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 $259.48 / $259.48 / $266.11	Facility		$259.48	$259.48	$266.11
United Facility/Professional Professional Modifier Low / Median / High Price $215.84 / $215.84 / $215.84	Professional		$215.84	$215.84	$215.84