Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $93.21 / $237.30	Professional		$79.95	$93.21	$237.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $97.09 / $103.16	Professional		$81.00	$97.09	$103.16