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 $80.06 / $132.90 / $986.69	Professional		$80.06	$132.90	$986.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $771.76 / $884.91	Professional		$102.65	$771.76	$884.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $139.49 / $164.95 / $1,201.08	Professional		$139.49	$164.95	$1,201.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $679.15 / $864.37	Professional		$94.93	$679.15	$864.37
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 $629.76 / $863.97 / $1,271.64	Professional		$629.76	$863.97	$1,271.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $82.59 / $115.63	Professional		$15.55	$82.59	$115.63