Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.52 / $152.52 / $157.57	Professional		$152.52	$152.52	$157.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.22 / $642.22 / $642.22	Professional		$642.22	$642.22	$642.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.98 / $194.13 / $361.88	Facility		$111.98	$194.13	$361.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $309.00 / $409.00	Professional		$203.00	$309.00	$409.00