Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $281.84	Facility		$109.65	$109.65	$281.84
University Health Alliance Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $3,235.94 / $5,623.41	Facility		$109.65	$3,235.94	$5,623.41