Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,747.00 / $2,898.00	Facility		$494.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $93.66 / $437.05	Professional		$61.28	$93.66	$437.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $122.78 / $147.33	Professional		$100.18	$122.78	$147.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $123.88 / $2,342.00	Professional		$107.36	$123.88	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.72 / $108.04 / $127.69	Professional		$95.72	$108.04	$127.69
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 $92.13 / $122.78 / $223.00	Professional		$92.13	$122.78	$223.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $82.58 / $111.42	Professional		$16.05	$82.58	$111.42