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 $88.01 / $135.38 / $697.09	Professional		$88.01	$135.38	$697.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $140.24 / $168.29	Professional		$114.43	$140.24	$168.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $182.99 / $2,540.00	Professional		$142.86	$182.99	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $123.41 / $145.85	Professional		$82.82	$123.41	$145.85
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 $114.43 / $141.87 / $299.83	Professional		$114.43	$141.87	$299.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $2,021.27 / $4,023.00	Professional		$64.95	$2,021.27	$4,023.00