Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $10,232.93	Professional		$1,698.24	$2,691.53	$10,232.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $40,738.03	Facility		$54.95	$56.23	$40,738.03
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility	AS	$4,073.80	$4,073.80	$4,073.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $24,547.09 / $24,547.09	Professional		$23,988.33	$24,547.09	$24,547.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $4,365.16	Professional		$2,630.27	$2,630.27	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $8,709.64	Professional		$1,202.26	$1,288.25	$8,709.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $13,182.57	Professional		$1,548.82	$1,548.82	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $3,090.30 / $8,709.64	Professional		$478.63	$3,090.30	$8,709.64