Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $100.00	Professional		$5.01	$5.01	$100.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.99 / $25.12	Professional		$22.39	$23.99	$25.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $218.78	Professional		$144.54	$173.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $190.55	Professional		$114.82	$125.89	$190.55