Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $213.80	Professional		$208.93	$208.93	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $371.54	Professional		$302.00	$371.54	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $234.42 / $407.38	Facility		$97.72	$234.42	$407.38