Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.00 / $1,569.00 / $3,258.00	Facility		$552.00	$1,569.00	$3,258.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $649.00 / $690.00	Facility		$100.00	$649.00	$690.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $243.10 / $243.10 / $447.26	Facility		$243.10	$243.10	$447.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00