Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $117.17 / $146.46	Professional		$114.14	$117.17	$146.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.51 / $359.66 / $577.35	Professional		$202.51	$359.66	$577.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.01 / $212.91 / $480.26	Professional		$183.01	$212.91	$480.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $140.38 / $189.32	Facility		$98.16	$140.38	$189.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $168.00 / $260.95	Professional		$156.00	$168.00	$260.95