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 $100.26 / $175.00 / $204.23	Professional		$100.26	$175.00	$204.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.12 / $221.96 / $266.36	Professional		$181.12	$221.96	$266.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $189.87 / $224.52 / $475.39	Professional		$189.87	$224.52	$475.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $195.33 / $221.96	Professional		$144.18	$195.33	$221.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.89 / $221.96 / $427.68	Professional		$175.89	$221.96	$427.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $3,504.36 / $5,401.00	Professional		$126.58	$3,504.36	$5,401.00