Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.82 / $405.27 / $405.27	Professional		$351.82	$405.27	$405.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $397.79 / $440.04 / $2,542.00	Professional		$397.79	$440.04	$2,542.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $366.00 / $465.82	Professional		$112.20	$366.00	$465.82
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 $360.22 / $481.53 / $759.89	Professional		$360.22	$481.53	$759.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Professional		$29.27	$29.27	$29.27