Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.34 / $255.36 / $255.36	Professional		$182.34	$255.36	$255.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.17 / $65.93 / $81.09	Facility		$56.17	$65.93	$81.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $194.00 / $194.00	Professional		$65.36	$194.00	$194.00