Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $54.23 / $69.59	Facility		$47.85	$54.23	$69.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $124.37 / $145.57	Professional		$94.28	$124.37	$145.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $69.59 / $87.00	Professional		$58.00	$69.59	$87.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $69.59 / $112.58	Professional		$24.36	$69.59	$112.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $105.33 / $145.84	Professional		$64.95	$105.33	$145.84