Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HMSA Facility/Professional Facility Modifier Low / Median / High Price $3,935.00 / $11,782.00 / $23,349.00	Facility		$3,935.00	$11,782.00	$23,349.00
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