Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $75.31 / $127.53	Professional		$68.67	$75.31	$127.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $128.19 / $2,342.00	Professional		$111.41	$128.19	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.71 / $97.86 / $114.17	Professional		$89.71	$97.86	$114.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $101.94 / $136.85	Professional		$83.18	$101.94	$136.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $102.11 / $144.44	Professional		$14.33	$102.11	$144.44