Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $11,780.00 / $21,623.00	Facility		$4,644.00	$11,780.00	$21,623.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,878.18 / $1,878.18 / $2,708.76	Professional		$1,878.18	$1,878.18	$2,708.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $4,750.00 / $17,033.14	Professional		$500.00	$4,750.00	$17,033.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,166.55 / $4,664.43	Facility		$55.00	$3,166.55	$4,664.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,636.00 / $13,636.00 / $13,636.00	Professional		$13,636.00	$13,636.00	$13,636.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,924.13 / $3,924.13 / $3,924.13	Professional		$3,924.13	$3,924.13	$3,924.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,880.00 / $2,880.00 / $2,880.00	Facility		$2,880.00	$2,880.00	$2,880.00