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 / $2,898.00	Facility		$988.00	$2,898.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $156.60 / $557.00	Professional		$81.54	$156.60	$557.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $170.31 / $204.38	Professional		$138.97	$170.31	$204.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $181.52 / $217.98	Professional		$153.51	$181.52	$217.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $149.88 / $177.13	Professional		$117.80	$149.88	$177.13
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 $138.97 / $170.31 / $328.90	Professional		$138.97	$170.31	$328.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $1,500.00 / $4,035.20	Professional		$85.43	$1,500.00	$4,035.20