Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $3,192.80 / $3,192.80	Professional		$517.50	$3,192.80	$3,192.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,857.00 / $4,582.80 / $5,738.00	Professional		$3,857.00	$4,582.80	$5,738.00
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
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Professional		$29.27	$29.27	$29.27