Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $420.00 / $1,214.00	Facility		$207.00	$420.00	$1,214.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $3,207.25 / $3,207.25 / $3,207.25	Facility		$3,207.25	$3,207.25	$3,207.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00