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 $66.59 / $114.73 / $416.01	Professional		$66.59	$114.73	$416.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $169.89 / $203.87	Professional		$138.63	$169.89	$203.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $156.90 / $199.93	Professional		$132.68	$156.90	$199.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $149.50 / $176.68	Professional		$104.68	$149.50	$176.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $169.89 / $309.27	Professional		$136.47	$169.89	$309.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $2,021.27 / $4,035.20	Professional		$76.27	$2,021.27	$4,035.20