Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.11 / $249.11 / $249.11	Professional		$249.11	$249.11	$249.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $210.00 / $210.00	Professional		$210.00	$210.00	$210.00