Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $105.09 / $111.44	Professional		$83.25	$105.09	$111.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $115.91 / $123.74	Professional		$66.88	$115.91	$123.74
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