Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,390.00 / $1,395.00 / $1,395.00	Professional		$1,390.00	$1,395.00	$1,395.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $677.33 / $677.33 / $1,469.01	Facility		$677.33	$677.33	$1,469.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $934.72 / $1,192.00 / $3,569.23	Professional		$934.72	$1,192.00	$3,569.23