Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $170.00 / $300.00	Facility		$39.00	$170.00	$300.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $990.00	Facility		$95.00	$95.00	$990.00