Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,905.46	Facility		$1,819.70	$1,819.70	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,096.48	Professional		$1,071.52	$1,096.48	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,230.27	Professional		$954.99	$954.99	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,511.89	Professional		$1,258.93	$1,819.70	$2,511.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,778.28	Professional		$912.01	$1,174.90	$1,778.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,445.44 / $2,630.27	Facility		$588.84	$1,445.44	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,174.90	Professional		$977.24	$1,122.02	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,348.96 / $2,398.83	Facility		$676.08	$1,348.96	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $891.25 / $1,348.96	Professional		$831.76	$891.25	$1,348.96