Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,747.00 / $6,084.00	Facility		$2,528.00	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.53 / $925.53 / $925.53	Professional		$925.53	$925.53	$925.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,180.81 / $1,292.27 / $1,525.68	Professional		$1,180.81	$1,292.27	$1,525.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $997.62 / $1,088.32 / $1,269.70	Professional		$997.62	$1,088.32	$1,269.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $925.07 / $1,133.66 / $1,437.20	Professional		$925.07	$1,133.66	$1,437.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $958.11 / $1,215.13	Professional		$29.27	$958.11	$1,215.13