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 $144.28 / $253.15 / $806.00	Professional		$144.28	$253.15	$806.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $277.30 / $332.76	Professional		$226.28	$277.30	$332.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $284.39 / $319.70 / $4,765.00	Professional		$284.39	$319.70	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.04 / $244.02 / $277.30	Professional		$208.04	$244.02	$277.30
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 $213.83 / $277.30 / $342.75	Professional		$213.83	$277.30	$342.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $1,500.00 / $4,023.00	Professional		$163.47	$1,500.00	$4,023.00