Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $281.84	Facility		$109.65	$109.65	$281.84
University Health Alliance Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $323.59	Facility		$109.65	$109.65	$323.59