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 $1,013.37 / $1,287.56 / $1,825.74	Professional		$1,013.37	$1,287.56	$1,825.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,518.39 / $1,786.34 / $8,902.00	Professional		$1,518.39	$1,786.34	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,282.49 / $1,399.08 / $1,632.26	Professional		$1,282.49	$1,399.08	$1,632.26
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 $1,078.94 / $1,413.89 / $1,867.56	Professional		$1,078.94	$1,413.89	$1,867.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,112.30 / $3,692.19 / $9,324.00	Professional		$1,112.30	$3,692.19	$9,324.00