Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $173.16 / $1,323.00	Professional		$173.16	$173.16	$1,323.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $193.01 / $241.26 / $276.45	Professional		$193.01	$241.26	$276.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $123.94 / $123.94	Professional		$123.94	$123.94	$123.94
United Facility/Professional Professional Modifier Low / Median / High Price $231.08 / $411.31 / $452.43	Professional		$231.08	$411.31	$452.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $133.84 / $305.18 / $410.75	Professional		$133.84	$305.18	$410.75