Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $174.74 / $180.80	Professional		$174.74	$174.74	$180.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.02 / $733.02 / $733.02	Professional		$733.02	$733.02	$733.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $210.00 / $328.45	Facility		$144.00	$210.00	$328.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $252.00 / $355.00	Professional		$239.00	$252.00	$355.00