Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $89.89 / $111.11	Professional		$89.89	$89.89	$111.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $11.50 / $41.00	Professional		$11.50	$11.50	$41.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $309.88 / $438.72	Professional		$207.76	$309.88	$438.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $126.00 / $638.07	Professional		$90.00	$126.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $252.21 / $260.33	Facility		$148.41	$252.21	$260.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $411.91 / $565.95 / $565.95	Professional		$411.91	$565.95	$565.95
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 $212.80 / $229.97 / $229.97	Facility		$212.80	$229.97	$229.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $140.60 / $238.10	Professional		$50.88	$140.60	$238.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $132.96 / $132.96 / $196.89	Professional		$132.96	$132.96	$196.89
United Facility/Professional Facility Modifier Low / Median / High Price $104.13 / $104.13 / $104.13	Facility		$104.13	$104.13	$104.13