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 $132.87 / $160.93 / $271.72	Professional		$132.87	$160.93	$271.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.63 / $321.85 / $386.22	Professional		$262.63	$321.85	$386.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $257.72 / $296.85 / $399.02	Professional		$257.72	$296.85	$399.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.05 / $257.48 / $321.85	Professional		$195.05	$257.48	$321.85
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 $262.63 / $321.85 / $620.84	Professional		$262.63	$321.85	$620.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.05 / $1,658.00 / $3,956.00	Professional		$168.05	$1,658.00	$3,956.00