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 $77.51 / $256.00 / $577.36	Professional		$77.51	$256.00	$577.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $303.20 / $647.54	Professional		$106.61	$303.20	$647.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $160.12 / $274.86	Professional		$135.41	$160.12	$274.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $266.83 / $339.60	Professional		$92.66	$266.83	$339.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.42 / $303.20 / $373.28	Professional		$247.42	$303.20	$373.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.62 / $2,370.61 / $4,023.00	Professional		$96.62	$2,370.61	$4,023.00