Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $302.00	Professional		$295.12	$295.12	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $457.09	Professional		$363.08	$398.11	$457.09