Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,431.00 / $10,303.00	Facility		$2,747.00	$8,431.00	$10,303.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $228.52 / $293.66 / $12,865.50	Professional		$228.52	$293.66	$12,865.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $309.44 / $326.98	Professional		$180.02	$309.44	$326.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12,600.00 / $12,600.00 / $13,230.00	Professional		$12,600.00	$12,600.00	$13,230.00