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 $156.86 / $202.71 / $914.00	Professional		$156.86	$202.71	$914.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.68 / $210.39 / $252.47	Professional		$171.68	$210.39	$252.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $271.89 / $2,077.00	Professional		$82.91	$271.89	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.73 / $185.14 / $210.39	Professional		$122.73	$185.14	$210.39
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 $171.68 / $210.39 / $398.70	Professional		$171.68	$210.39	$398.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $144.71 / $260.72	Professional		$29.27	$144.71	$260.72