Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $78.47 / $78.47	Professional		$78.47	$78.47	$78.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.67 / $97.73 / $231.96	Facility		$67.67	$97.73	$231.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $61.00 / $122.00	Professional		$42.00	$61.00	$122.00