Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.37 / $255.36 / $255.36	Professional		$148.37	$255.36	$255.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.66 / $53.60 / $67.68	Facility		$45.66	$53.60	$67.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $146.00 / $146.00	Professional		$65.36	$146.00	$146.00