Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $423.48 / $750.00	Professional		$98.98	$423.48	$750.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $121.81 / $142.55	Professional		$92.36	$121.81	$142.55
United Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $98.98 / $98.98	Professional		$98.98	$98.98	$98.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00