Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.99 / $165.99 / $165.99	Professional		$165.99	$165.99	$165.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $201.91 / $201.91 / $201.91	Professional		$201.91	$201.91	$201.91