Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.00 / $1,632.00 / $3,258.00	Facility		$552.00	$1,632.00	$3,258.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $649.00 / $690.00	Facility		$100.00	$649.00	$690.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $205.00 / $350.00	Facility		$118.50	$205.00	$350.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $177.00 / $195.00	Facility		$177.00	$177.00	$195.00