Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $2,884.03	Facility		$1,000.00	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,174.90 / $1,288.25	Professional		$223.87	$1,174.90	$1,288.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,230.27	Professional		$1,000.00	$1,122.02	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,479.11	Professional		$1,047.13	$1,174.90	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,412.54 / $2,041.74	Professional		$338.84	$1,412.54	$2,041.74