Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.72 / $172.72 / $178.78	Professional		$172.72	$172.72	$178.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.63 / $738.63 / $738.63	Professional		$738.63	$738.63	$738.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.95 / $236.40 / $325.31	Facility		$190.95	$236.40	$325.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $265.00 / $464.00	Professional		$224.00	$265.00	$464.00