Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,881.30 / $1,881.30 / $1,881.30	Professional		$1,881.30	$1,881.30	$1,881.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $673.84 / $1,011.50	Professional		$567.00	$673.84	$1,011.50