Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.63 / $63.63 / $66.66	Professional		$63.63	$63.63	$66.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.19 / $278.19 / $278.19	Professional		$278.19	$278.19	$278.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $75.20 / $105.96	Facility		$19.26	$75.20	$105.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $89.00 / $170.00	Professional		$87.00	$89.00	$170.00