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 $96.65 / $262.00 / $664.86	Professional		$96.65	$262.00	$664.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.32 / $408.28 / $747.24	Professional		$133.32	$408.28	$747.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $172.14 / $210.27 / $872.67	Professional		$172.14	$210.27	$872.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $359.28 / $457.27	Professional		$114.81	$359.28	$457.27
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 $333.15 / $408.28 / $525.98	Professional		$333.15	$408.28	$525.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $313.14 / $2,370.61 / $3,956.00	Professional		$313.14	$2,370.61	$3,956.00