Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $112.20	Professional		$91.20	$91.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $416.87	Professional		$213.80	$316.23	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $831.76	Professional		$128.82	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $257.04	Professional		$239.88	$239.88	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $147.91	Professional		$69.18	$93.33	$147.91