Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $827.68 / $895.28 / $1,176.63	Facility		$827.68	$895.28	$1,176.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $118.00 / $155.00	Facility		$103.00	$118.00	$155.00