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 $918.34 / $918.34 / $918.34	Professional		$918.34	$918.34	$918.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,212.50 / $1,326.95 / $1,566.62	Professional		$1,212.50	$1,326.95	$1,566.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,024.64 / $1,117.79 / $1,304.08	Professional		$1,024.64	$1,117.79	$1,304.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $923.11 / $1,164.35 / $1,472.78	Professional		$923.11	$1,164.35	$1,472.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $900.53 / $2,575.00 / $6,124.00	Professional		$900.53	$2,575.00	$6,124.00