Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.05 / $177.75 / $370.85	Facility		$101.05	$177.75	$370.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $110.12 / $215.83	Facility		$106.97	$110.12	$215.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $131.00 / $201.00	Professional		$74.26	$131.00	$201.00