Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.00 / $429.00 / $1,134.00	Facility		$291.00	$429.00	$1,134.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $100.00 / $1,726.00	Facility		$59.90	$100.00	$1,726.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $224.00 / $575.00	Facility		$118.50	$224.00	$575.00