Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,058.02 / $1,058.02 / $1,058.02	Professional		$1,058.02	$1,058.02	$1,058.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $287.73 / $357.76 / $585.91	Facility		$287.73	$357.76	$585.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $375.00 / $401.00	Professional		$313.00	$375.00	$401.00