Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.90 / $1,147.06 / $1,147.06	Professional		$601.90	$1,147.06	$1,147.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $454.00 / $4,334.00 / $5,738.00	Professional		$454.00	$4,334.00	$5,738.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,104.95 / $1,807.53 / $2,942.32	Professional		$1,104.95	$1,807.53	$2,942.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,106.00 / $3,250.00 / $6,124.00	Professional		$1,106.00	$3,250.00	$6,124.00