Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,373.17 / $1,502.77 / $1,857.81	Professional		$1,373.17	$1,502.77	$1,857.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $941.48 / $1,027.07 / $1,198.25	Professional		$941.48	$1,027.07	$1,198.25
United Facility/Professional Professional Modifier Low / Median / High Price $873.01 / $1,139.86 / $1,380.96	Professional		$873.01	$1,139.86	$1,380.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,111.11 / $1,879.51	Professional		$29.27	$1,111.11	$1,879.51