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 / $16,421.00	Facility		$2,675.00	$7,362.00	$16,421.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.38 / $872.73 / $7,156.40	Professional		$623.38	$872.73	$7,156.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4,618.34 / $8,578.95 / $15,744.57	Facility		$4,618.34	$8,578.95	$15,744.57
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 $752.75 / $752.75 / $1,085.63	Professional		$752.75	$752.75	$1,085.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,297.00 / $12,500.00	Professional		$393.93	$1,297.00	$12,500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $31,754.00 / $31,754.00 / $31,754.00	Facility		$31,754.00	$31,754.00	$31,754.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.82 / $375.82 / $458.45	Facility		$375.82	$375.82	$458.45
United Facility/Professional Professional Modifier Low / Median / High Price $276.74 / $276.74 / $276.74	Professional		$276.74	$276.74	$276.74