Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.17 / $167.96 / $248.76	Facility		$115.17	$167.96	$248.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.00 / $130.00	Facility		$100.00	$120.00	$130.00