Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $870.00 / $870.00	Facility		$870.00	$870.00	$870.00
HMSA Facility/Professional Facility Modifier Low / Median / High Price $966.00 / $1,460.00 / $1,500.00	Facility		$966.00	$1,460.00	$1,500.00
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