Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1,412.54 / $1,412.54	Professional		$1.00	$1,412.54	$1,412.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,819.70 / $3,235.94	Facility		$100.00	$1,819.70	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $398.11	Professional		$141.25	$141.25	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,288.25	Facility		$1,202.26	$1,202.26	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Facility		$1.32	$1.32	$1.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43