Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HMSA Facility/Professional Professional Modifier Low / Median / High Price $172.99 / $172.99 / $172.99	Professional		$172.99	$172.99	$172.99
United Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $136.80 / $205.20	Professional		$128.04	$136.80	$205.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $108.38 / $127.50	Professional		$89.25	$108.38	$127.50