Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $2,747.00 / $2,898.00	Facility		$247.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.38 / $172.38 / $569.60	Professional		$172.38	$172.38	$569.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $367.01 / $422.73 / $535.28	Professional		$367.01	$422.73	$535.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $393.22 / $491.53	Professional		$269.14	$393.22	$491.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.66 / $268.99 / $882.48	Professional		$225.66	$268.99	$882.48