Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,007.00 / $16,106.00	Facility		$2,275.00	$7,007.00	$16,106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.94 / $1,833.61 / $2,196.87	Professional		$762.94	$1,833.61	$2,196.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,303.33 / $8,444.70 / $26,542.00	Facility		$1,303.33	$8,444.70	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,713.33 / $3,713.33 / $3,713.33	Professional		$3,713.33	$3,713.33	$3,713.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,557.72 / $1,557.72 / $1,557.72	Professional		$1,557.72	$1,557.72	$1,557.72
United Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $864.00 / $864.00	Facility		$864.00	$864.00	$864.00