Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $55.55 / $69.69	Professional		$55.55	$55.55	$69.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $41.00	Professional		$10.00	$10.00	$41.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $175.82 / $274.00	Professional		$111.53	$175.82	$274.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $68.00 / $638.07	Professional		$50.00	$68.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.57 / $139.38 / $147.47	Facility		$134.57	$139.38	$147.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $220.70 / $350.87 / $350.87	Professional		$220.70	$350.87	$350.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $719.00 / $719.00 / $719.00	Professional		$719.00	$719.00	$719.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $142.44 / $142.44	Facility		$131.69	$142.44	$142.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $80.13 / $147.35	Professional		$26.00	$80.13	$147.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $66.53 / $119.81	Professional		$66.53	$66.53	$119.81
United Facility/Professional Facility Modifier Low / Median / High Price $64.70 / $64.70 / $64.70	Facility		$64.70	$64.70	$64.70