Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $103.09 / $454.11	Professional		$88.28	$103.09	$454.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.10 / $517.04 / $563.74	Professional		$132.10	$517.04	$563.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $174.14 / $212.50 / $765.03	Professional		$174.14	$212.50	$765.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $496.09 / $631.39	Professional		$114.65	$496.09	$631.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.01 / $563.74 / $802.07	Professional		$460.01	$563.74	$802.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $127.19 / $4,233.00	Professional		$29.27	$127.19	$4,233.00