Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $9,104.00 / $18,150.00	Facility		$3,908.00	$9,104.00	$18,150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.67 / $777.67 / $1,121.57	Professional		$777.67	$777.67	$1,121.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.00 / $958.00 / $1,854.00	Professional		$799.00	$958.00	$1,854.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,256.14 / $9,493.75 / $26,542.00	Facility		$1,256.14	$9,493.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,295.00 / $8,295.00 / $8,295.00	Professional		$8,295.00	$8,295.00	$8,295.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,120.00 / $6,120.00 / $6,365.00	Facility		$6,120.00	$6,120.00	$6,365.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $573.01 / $963.19 / $1,248.92	Professional		$573.01	$963.19	$1,248.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,547.50 / $1,547.50 / $1,547.50	Professional		$1,547.50	$1,547.50	$1,547.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,494.00 / $1,494.00 / $1,494.00	Facility		$1,494.00	$1,494.00	$1,494.00