Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $935.00 / $935.00	Facility		$935.00	$935.00	$935.00
HMSA Facility/Professional Facility Modifier Low / Median / High Price $351.79 / $394.00 / $638.00	Facility		$351.79	$394.00	$638.00
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