Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $72.44	Professional		$57.54	$57.54	$72.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $239.88	Professional		$102.33	$165.96	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $100.00	Professional		$50.12	$67.61	$100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $12.02	Professional		$8.13	$8.13	$12.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $120.23	Professional		$66.07	$66.07	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.75 / $15.85	Facility		$11.22	$11.75	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $27.54 / $70.79	Professional		$11.75	$27.54	$70.79