Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,165.00 / $20,418.00	Facility		$4,314.00	$10,165.00	$20,418.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,725.43 / $6,051.33 / $7,250.18	Professional		$5,725.43	$6,051.33	$7,250.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,131.80 / $5,000.00 / $5,201.28	Facility		$3,131.80	$5,000.00	$5,201.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,171.88 / $11,171.88 / $11,171.88	Professional		$11,171.88	$11,171.88	$11,171.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,973.59 / $4,973.59 / $4,973.59	Professional		$4,973.59	$4,973.59	$4,973.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $3,240.00	Facility		$3,240.00	$3,240.00	$3,240.00