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 $382.34 / $382.34 / $382.34	Professional		$382.34	$382.34	$382.34
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 $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,279.00 / $3,709.33 / $6,172.00	Professional		$1,279.00	$3,709.33	$6,172.00