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 $626.67 / $626.67 / $626.67	Professional		$626.67	$626.67	$626.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $827.24 / $905.33 / $1,068.83	Professional		$827.24	$905.33	$1,068.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.07 / $764.81 / $892.28	Professional		$701.07	$764.81	$892.28
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
United Facility/Professional Professional Modifier Low / Median / High Price $629.15 / $796.68 / $997.26	Professional		$629.15	$796.68	$997.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $662.21 / $2,575.00 / $6,124.00	Professional		$662.21	$2,575.00	$6,124.00