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 $156.06 / $274.98 / $978.47	Professional		$156.06	$274.98	$978.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.50 / $370.71 / $444.86	Professional		$302.50	$370.71	$444.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.97 / $327.30 / $463.66	Professional		$269.97	$327.30	$463.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $296.57 / $370.71	Professional		$200.00	$296.57	$370.71
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 $299.56 / $370.71 / $678.80	Professional		$299.56	$370.71	$678.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $233.57 / $4,233.00	Professional		$51.33	$233.57	$4,233.00