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 $146.58 / $236.00 / $787.11	Professional		$146.58	$236.00	$787.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.41 / $346.09 / $415.31	Professional		$282.41	$346.09	$415.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $229.22 / $290.76 / $427.06	Professional		$229.22	$290.76	$427.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.96 / $276.87 / $346.09	Professional		$174.96	$276.87	$346.09
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 $270.99 / $346.09 / $629.20	Professional		$270.99	$346.09	$629.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $332.96 / $11,981.00	Professional		$129.88	$332.96	$11,981.00