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 $104.53 / $152.41 / $325.43	Professional		$104.53	$152.41	$325.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.84 / $259.61 / $311.54	Professional		$211.84	$259.61	$311.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $239.33 / $280.02 / $339.85	Professional		$239.33	$280.02	$339.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.68 / $217.92 / $259.61	Professional		$183.68	$217.92	$259.61
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 $208.91 / $259.61 / $491.78	Professional		$208.91	$259.61	$491.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $1,550.00 / $4,023.00	Professional		$136.37	$1,550.00	$4,023.00