Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $1,412.54	Professional		$870.96	$977.24	$1,412.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,778.28	Professional		$1,348.96	$1,479.11	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,479.11	Professional		$1,047.13	$1,174.90	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,548.82	Professional		$741.31	$1,047.13	$1,548.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,691.53 / $6,165.95	Professional		$1,096.48	$2,691.53	$6,165.95