Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.94 / $256.58 / $380.03	Facility		$175.94	$256.58	$380.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.00 / $130.00	Facility		$100.00	$120.00	$130.00