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 $954.99 / $1,023.29 / $1,230.27	Professional		$954.99	$1,023.29	$1,230.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,778.28	Professional		$1,348.96	$1,479.11	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,288.25	Professional		$933.25	$1,023.29	$1,288.25
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 $954.99 / $1,174.90 / $1,513.56	Professional		$954.99	$1,174.90	$1,513.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $954.99 / $1,479.11	Professional		$29.51	$954.99	$1,479.11