Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $234.42	Professional		$223.87	$223.87	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $398.11	Professional		$316.23	$389.05	$398.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $263.03 / $457.09	Facility		$120.23	$263.03	$457.09