Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,651.36 / $1,651.36 / $1,651.36	Professional		$1,651.36	$1,651.36	$1,651.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $527.00 / $583.00 / $862.00	Professional		$527.00	$583.00	$862.00