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 $1,491.37 / $1,491.37 / $1,491.37	Professional		$1,491.37	$1,491.37	$1,491.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,756.26 / $1,922.03 / $2,328.39	Professional		$1,756.26	$1,922.03	$2,328.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,482.45 / $1,617.22 / $1,886.75	Professional		$1,482.45	$1,617.22	$1,886.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.38 / $1,636.50 / $2,161.38	Professional		$1,250.38	$1,636.50	$2,161.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,289.28 / $3,692.19 / $9,324.00	Professional		$1,289.28	$3,692.19	$9,324.00