Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $339.66 / $349.65 / $685.31	Facility		$339.66	$349.65	$685.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.66 / $339.66 / $339.66	Professional		$339.66	$339.66	$339.66