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 $87.53 / $142.62 / $728.00	Professional		$87.53	$142.62	$728.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.99 / $235.29 / $282.35	Professional		$191.99	$235.29	$282.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.85 / $258.80 / $310.77	Professional		$218.85	$258.80	$310.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.74 / $200.00 / $235.29	Professional		$167.74	$200.00	$235.29
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 $191.99 / $235.29 / $451.10	Professional		$191.99	$235.29	$451.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $222.54 / $4,023.00	Professional		$32.08	$222.54	$4,023.00