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 $83.21 / $123.08 / $434.00	Professional		$83.21	$123.08	$434.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $151.49 / $160.81	Professional		$102.84	$151.49	$160.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $164.02 / $2,376.00	Professional		$132.68	$164.02	$2,376.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $141.52 / $160.81	Professional		$96.40	$141.52	$160.81
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 $131.22 / $160.81 / $215.55	Professional		$131.22	$160.81	$215.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.33 / $2,465.42 / $4,023.00	Professional		$112.33	$2,465.42	$4,023.00