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 $61.64 / $116.03 / $586.10	Professional		$61.64	$116.03	$586.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $130.53 / $165.48	Professional		$83.63	$130.53	$165.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $90.91 / $112.57 / $182.09	Professional		$90.91	$112.57	$182.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $114.86 / $146.19	Professional		$58.86	$114.86	$146.19
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 $106.51 / $130.53 / $162.19	Professional		$106.51	$130.53	$162.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $125.17 / $3,113.00	Professional		$48.11	$125.17	$3,113.00