Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.33 / $51.31 / $908.27	Facility		$42.33	$51.31	$908.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $113.00 / $125.00	Professional		$96.05	$113.00	$125.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $61.57 / $71.83	Professional		$56.44	$61.57	$71.83
United Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $61.57 / $76.97	Professional		$51.31	$61.57	$76.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $66.73 / $89.83	Professional		$56.46	$66.73	$89.83