Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $97.97 / $122.22	Professional		$97.97	$97.97	$122.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.42 / $241.33 / $508.51	Professional		$201.42	$241.33	$508.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.49 / $405.49 / $405.49	Professional		$405.49	$405.49	$405.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $110.60 / $191.08	Facility		$56.02	$110.60	$191.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $167.00 / $182.00	Professional		$127.00	$167.00	$182.00