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 $71.28 / $78.38 / $655.64	Professional		$71.28	$78.38	$655.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $491.85 / $590.03	Professional		$94.66	$491.85	$590.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $141.19 / $792.19	Professional		$119.40	$141.19	$792.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $432.83 / $550.87	Professional		$81.65	$432.83	$550.87
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 $401.35 / $564.83 / $827.15	Professional		$401.35	$564.83	$827.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $88.36 / $5,287.00	Professional		$12.74	$88.36	$5,287.00