Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.54 / $280.56 / $392.78	Facility		$272.54	$280.56	$392.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.54 / $272.54 / $408.81	Professional		$272.54	$272.54	$408.81