Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $627.00 / $4,250.00	Facility		$318.00	$627.00	$4,250.00
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