Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $4,570.88	Professional		$758.58	$1,202.26	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $52,480.75	Facility		$54.95	$56.23	$52,480.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Professional		$13,182.57	$13,182.57	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,398.83	Professional		$1,445.44	$1,445.44	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $3,548.13	Professional		$512.86	$562.34	$3,548.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $6,456.54	Professional		$676.08	$676.08	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,412.54 / $4,570.88	Professional		$204.17	$1,412.54	$4,570.88