Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.27 / $933.77 / $1,227.22	Facility		$863.27	$933.77	$1,227.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $118.00 / $155.00	Facility		$103.00	$118.00	$155.00