Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.00 / $1,136.00 / $2,870.00	Facility		$492.00	$1,136.00	$2,870.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $80.54 / $907.00	Facility		$48.22	$80.54	$907.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,915.40 / $1,915.40 / $1,915.40	Facility		$1,915.40	$1,915.40	$1,915.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00