Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,142.00 / $2,205.00 / $4,321.80	Facility		$2,142.00	$2,205.00	$4,321.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,142.00 / $4,981.00 / $7,717.00	Professional		$2,142.00	$4,981.00	$7,717.00