Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $870.96	Professional		$676.08	$794.33	$870.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,897.79 / $5,888.44	Professional		$3,235.94	$4,897.79	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,148.15	Professional		$891.25	$977.24	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,288.25	Professional		$912.01	$1,000.00	$1,288.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,311.31 / $4,265.80	Professional		$1,000.00	$3,311.31	$4,265.80