Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.17 / $217.17 / $226.26	Professional		$217.17	$217.17	$226.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $932.82 / $932.82 / $932.82	Professional		$932.82	$932.82	$932.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.97 / $265.47 / $433.92	Facility		$126.97	$265.47	$433.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $333.00 / $585.00	Professional		$292.00	$333.00	$585.00