Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.01 / $201.01 / $209.09	Professional		$201.01	$201.01	$209.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $862.97 / $862.97 / $862.97	Professional		$862.97	$862.97	$862.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.82 / $235.64 / $395.97	Facility		$101.82	$235.64	$395.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $282.00 / $540.00	Professional		$246.00	$282.00	$540.00