Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $136.49 / $636.24 / $946.90	Professional		$136.49	$636.24	$946.90