Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $16.60	Facility		$15.85	$15.85	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.95 / $20.89	Professional		$19.50	$19.95	$20.89