Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $785.00 / $785.00	Facility		$785.00	$785.00	$785.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,085.00 / $2,085.00 / $2,085.00	Facility		$2,085.00	$2,085.00	$2,085.00