Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $954.99	Professional		$676.08	$954.99	$954.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,318.26	Facility		$676.08	$891.25	$1,318.26