Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $80.40 / $80.40	Professional		$80.40	$80.40	$80.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $53.43 / $73.40	Facility		$26.07	$53.43	$73.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $60.00 / $97.75	Professional		$52.00	$60.00	$97.75