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 $73.70 / $118.57 / $632.66	Professional		$73.70	$118.57	$632.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.18 / $128.90 / $154.68	Professional		$105.18	$128.90	$154.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $148.94 / $193.14	Professional		$117.42	$148.94	$193.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $113.43 / $134.06	Professional		$71.70	$113.43	$134.06
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 $105.18 / $128.90 / $263.04	Professional		$105.18	$128.90	$263.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $2,370.61 / $4,023.00	Professional		$72.33	$2,370.61	$4,023.00