Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,773.55 / $1,877.88 / $2,159.56	Professional		$1,773.55	$1,877.88	$2,159.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,472.89 / $1,606.79 / $1,874.59	Professional		$1,472.89	$1,606.79	$1,874.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,365.77 / $1,673.74 / $2,032.02	Professional		$1,365.77	$1,673.74	$2,032.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,394.60 / $1,809.50	Professional		$29.27	$1,394.60	$1,809.50