Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,140.00 / $9,899.00 / $19,158.00	Facility		$4,140.00	$9,899.00	$19,158.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,443.33 / $7,867.02 / $9,425.58	Professional		$7,443.33	$7,867.02	$9,425.58
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 $3,778.40 / $5,017.27 / $6,613.14	Facility		$3,778.40	$5,017.27	$6,613.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,732.74 / $10,732.74 / $10,732.74	Professional		$10,732.74	$10,732.74	$10,732.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,491.36 / $6,491.36 / $6,491.36	Professional		$6,491.36	$6,491.36	$6,491.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,140.00 / $4,140.00 / $4,140.00	Facility		$4,140.00	$4,140.00	$4,140.00