Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.26 / $126.26 / $157.57	Professional		$126.26	$126.26	$157.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $41.00	Professional		$13.00	$13.00	$41.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.26 / $458.29 / $618.12	Professional		$307.26	$458.29	$618.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $183.00 / $638.07	Professional		$134.00	$183.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $374.44 / $385.50	Facility		$210.60	$374.44	$385.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $607.94 / $801.06 / $801.06	Professional		$607.94	$801.06	$801.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.13 / $323.50 / $999.99	Facility		$301.13	$323.50	$999.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $206.21 / $336.94	Professional		$75.63	$206.21	$336.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $205.03 / $205.03 / $285.44	Professional		$205.03	$205.03	$285.44
United Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $147.38 / $147.38	Facility		$147.38	$147.38	$147.38