Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
HMSA Facility/Professional Facility Modifier Low / Median / High Price $233.55 / $233.55 / $411.00	Facility		$233.55	$233.55	$411.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $280.00	Facility		$110.00	$110.00	$280.00