Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $257.04	Professional		$165.96	$165.96	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $61.66 / $102.33	Facility		$43.65	$61.66	$102.33