Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $117.49 / $154.88	Facility		$109.65	$117.49	$154.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $151.36	Facility		$102.33	$120.23	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00