Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $224.96 / $224.96	Professional		$224.96	$224.96	$224.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $393.49 / $444.64 / $515.67	Professional		$393.49	$444.64	$515.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,088.82 / $1,187.81 / $1,385.78	Professional		$1,088.82	$1,187.81	$1,385.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.81 / $1,666.80 / $2,040.11	Professional		$337.81	$1,666.80	$2,040.11