Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $44.56 / $165.54	Professional		$44.56	$44.56	$165.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $149.28 / $174.16	Professional		$136.84	$149.28	$174.16
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 $155.50 / $155.50 / $196.71	Professional		$155.50	$155.50	$196.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $148.94 / $167.23	Professional		$20.90	$148.94	$167.23