Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.38 / $955.47 / $989.38	Professional		$776.38	$955.47	$989.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,013.85 / $1,192.77 / $10,719.00	Professional		$1,013.85	$1,192.77	$10,719.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.57 / $732.62 / $854.73	Professional		$671.57	$732.62	$854.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.54 / $763.15 / $947.46	Professional		$622.54	$763.15	$947.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $821.38 / $3,692.19 / $9,324.00	Professional		$821.38	$3,692.19	$9,324.00