Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,661.70 / $4,522.35 / $9,182.00	Facility		$1,661.70	$4,522.35	$9,182.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74,999.25 / $74,999.25 / $74,999.25	Facility		$74,999.25	$74,999.25	$74,999.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,255.00 / $2,255.00 / $2,255.00	Professional		$2,255.00	$2,255.00	$2,255.00