Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $487.74 / $487.74 / $487.74	Facility		$487.74	$487.74	$487.74
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $168.85 / $168.85 / $168.85	Facility		$168.85	$168.85	$168.85