Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,162.28 / $3,715.35	Professional		$2,884.03	$3,162.28	$3,715.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $5,011.87	Professional		$3,715.35	$4,073.80	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,311.31 / $4,168.69	Professional		$3,019.95	$3,311.31	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $4,570.88	Professional		$2,884.03	$3,548.13	$4,570.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $2,570.40 / $3,890.45	Professional		$29.51	$2,570.40	$3,890.45