Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $114.82	Professional		$93.33	$93.33	$114.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $389.05	Professional		$190.55	$275.42	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $199.53	Professional		$100.00	$125.89	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
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 $15.85 / $15.85 / $23.44	Professional		$15.85	$15.85	$23.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $194.98	Professional		$131.83	$131.83	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $22.39 / $30.20	Facility		$21.38	$22.39	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $50.12 / $117.49	Professional		$22.39	$50.12	$117.49