Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,491.93 / $4,469.68 / $9,523.08	Facility		$1,491.93	$4,469.68	$9,523.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74,999.25 / $74,999.25 / $74,999.25	Facility		$74,999.25	$74,999.25	$74,999.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,346.23 / $3,346.23 / $6,046.00	Professional		$3,346.23	$3,346.23	$6,046.00