Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,470.00 / $5,434.00	Facility		$494.00	$2,470.00	$5,434.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $84.65 / $112.74	Professional		$73.48	$84.65	$112.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $91.10 / $107.67	Professional		$57.81	$91.10	$107.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $119.85 / $187.24	Professional		$89.10	$119.85	$187.24