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 / $2,884.03 / $10,964.78	Professional		$1,698.24	$2,884.03	$10,964.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $37,153.52	Facility		$54.95	$56.23	$37,153.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	AS	$3,715.35	$3,715.35	$3,715.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $33,113.11 / $33,113.11	Professional		$28,183.83	$33,113.11	$33,113.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $5,495.41	Professional		$3,311.31	$3,311.31	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $11,748.98	Professional		$1,318.26	$1,412.54	$11,748.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $16,595.87	Professional		$1,737.80	$1,737.80	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $3,890.45 / $10,232.93	Professional		$524.81	$3,890.45	$10,232.93