Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.83 / $305.56 / $598.90	Facility		$296.83	$305.56	$598.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.83 / $296.83 / $296.83	Professional		$296.83	$296.83	$296.83