Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $146.15 / $163.82	Professional		$69.20	$146.15	$163.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $152.43 / $167.82	Professional		$86.35	$152.43	$167.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $142.88 / $2,287.00	Professional		$106.14	$142.88	$2,287.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $134.13 / $152.43	Professional		$42.85	$134.13	$152.43
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 $124.38 / $152.43 / $182.87	Professional		$124.38	$152.43	$182.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $102.74 / $196.36	Professional		$29.27	$102.74	$196.36