Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,447.00 / $19,298.00	Facility		$2,616.00	$9,447.00	$19,298.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,356.79 / $5,664.17 / $6,786.32	Professional		$2,356.79	$5,664.17	$6,786.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $3,076.00 / $5,944.00	Professional		$801.00	$3,076.00	$5,944.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,832.38 / $6,347.80	Facility		$55.00	$3,832.38	$6,347.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,467.74 / $9,467.74 / $11,001.20	Professional		$9,467.74	$9,467.74	$11,001.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,909.50 / $3,909.50 / $3,909.50	Facility		$3,909.50	$3,909.50	$3,909.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,806.53 / $3,149.85 / $4,101.64	Professional		$1,806.53	$3,149.85	$4,101.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,896.89 / $4,896.89 / $4,896.89	Professional		$4,896.89	$4,896.89	$4,896.89