Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $12,800.00 / $24,456.00	Facility		$5,540.00	$12,800.00	$24,456.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,887.81 / $1,887.81 / $2,722.64	Professional		$1,887.81	$1,887.81	$2,722.64
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 / $3,079.75 / $5,091.57	Facility		$55.00	$3,079.75	$5,091.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,233.00 / $14,233.00 / $14,233.00	Professional		$14,233.00	$14,233.00	$14,233.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,091.93 / $1,517.93 / $3,491.69	Professional		$1,091.93	$1,517.93	$3,491.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,933.82 / $3,933.82 / $3,933.82	Professional		$3,933.82	$3,933.82	$3,933.82