Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $9,772.37	Professional		$776.25	$1,000.00	$9,772.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $14,125.38 / $14,125.38	Professional		$10,715.19	$14,125.38	$14,125.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $3,388.44	Professional		$2,511.89	$2,951.21	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $3,548.13	Professional		$977.24	$1,548.82	$3,548.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $7,244.36 / $12,589.25	Professional		$2,187.76	$7,244.36	$12,589.25