Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $34.00 / $60.00	Facility		$25.00	$34.00	$60.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $80.37 / $80.37	Facility		$57.75	$80.37	$80.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.75 / $43.75 / $61.00	Facility		$43.75	$43.75	$61.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $224.00 / $1,138.43	Facility		$118.50	$224.00	$1,138.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.75 / $43.75 / $61.00	Facility		$43.75	$43.75	$61.00