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 $697.05 / $1,002.05 / $8,002.13	Professional		$697.05	$1,002.05	$8,002.13
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 / $1,586.00 / $12,500.00	Professional		$393.93	$1,586.00	$12,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $355.99 / $355.99 / $373.33	Facility		$355.99	$355.99	$373.33
United Facility/Professional Professional Modifier Low / Median / High Price $276.74 / $276.74 / $276.74	Professional		$276.74	$276.74	$276.74