Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.09 / $254.45 / $254.45	Professional		$166.09	$254.45	$254.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.54 / $59.33 / $74.70	Facility		$50.54	$59.33	$74.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $146.00 / $146.00	Professional		$65.36	$146.00	$146.00