Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Facility		$1,200.00	$1,200.00	$1,200.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $275.00 / $25,886.78	Facility		$110.00	$275.00	$25,886.78
University Health Alliance Facility/Professional Facility Modifier Low / Median / High Price $1,280.00 / $3,842.00 / $14,986.00	Facility		$1,280.00	$3,842.00	$14,986.00