Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HMSA Facility/Professional Facility Modifier Low / Median / High Price $4,289.00 / $10,729.00 / $20,261.00	Facility		$4,289.00	$10,729.00	$20,261.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $280.00	Facility		$110.00	$110.00	$280.00
University Health Alliance Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00