Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,955.79 / $2,927.00 / $4,028.60	Professional		$1,955.79	$2,927.00	$4,028.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,405.11 / $1,591.42 / $2,420.16	Facility		$1,405.11	$1,591.42	$2,420.16
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $281.02 / $318.27 / $477.81	Facility	80	$281.02	$318.27	$477.81
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $196.72 / $222.80 / $334.47	Facility	AS	$196.72	$222.80	$334.47