Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $227.75 / $261.77 / $295.00	Professional		$227.75	$261.77	$295.00
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 $1,078.00 / $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 $73.06 / $120.93 / $196.86	Professional		$73.06	$120.93	$196.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $3.33 / $29.27	Professional		$0.48	$3.33	$29.27