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 $2,866.33 / $4,318.00 / $5,880.18	Professional		$2,866.33	$4,318.00	$5,880.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,051.23 / $2,323.12 / $4,273.60	Facility		$2,051.23	$2,323.12	$4,273.60
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $410.25 / $464.62 / $701.85	Facility	80	$410.25	$464.62	$701.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $287.17 / $325.24 / $491.30	Facility	AS	$287.17	$325.24	$491.30