Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $10,117.00 / $19,252.00	Facility		$4,437.00	$10,117.00	$19,252.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,010.72 / $2,010.72 / $2,899.91	Professional		$2,010.72	$2,010.72	$2,899.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $4,731.00 / $17,033.14	Professional		$500.00	$4,731.00	$17,033.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,282.20 / $5,432.86	Facility		$55.00	$3,282.20	$5,432.86
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
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,163.48 / $1,616.82 / $3,728.30	Professional		$1,163.48	$1,616.82	$3,728.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,196.25 / $4,196.25 / $4,196.25	Professional		$4,196.25	$4,196.25	$4,196.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,707.26 / $2,559.96 / $2,708.17	Professional		$1,707.26	$2,559.96	$2,708.17