Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,736.00 / $6,303.00 / $6,303.00	Facility		$5,736.00	$6,303.00	$6,303.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $208.92 / $209.00	Professional		$126.70	$208.92	$209.00