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 $645.65 / $1,000.00 / $3,801.89	Professional		$645.65	$1,000.00	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,302.68	Facility		$54.95	$56.23	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,606.93 / $6,606.93	Professional		$6,165.95	$6,606.93	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,148.15	Professional		$676.08	$676.08	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $2,290.87	Professional		$478.63	$524.81	$2,290.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $3,467.37	Professional		$630.96	$630.96	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $812.83 / $2,238.72	Professional		$190.55	$812.83	$2,238.72