Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $288.40 / $363.08	Facility		$204.17	$288.40	$363.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $128.82	Facility		$100.00	$120.23	$128.82