Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $158.49 / $177.83	Professional		$61.66	$158.49	$177.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $45.71	Professional	26	$40.74	$40.74	$45.71
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $117.49 / $131.83	Professional	TC	$117.49	$117.49	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $251.19	Professional		$75.86	$109.65	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $21.88 / $64.57	Professional	26	$14.79	$21.88	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $83.18 / $190.55	Professional	TC	$56.23	$83.18	$190.55