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 $82.67 / $105.04 / $276.87	Professional		$82.67	$105.04	$276.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $305.01 / $321.44	Professional		$101.92	$305.01	$321.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $159.07 / $386.02	Professional		$134.52	$159.07	$386.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $282.87 / $321.44	Professional		$99.41	$282.87	$321.44
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 $262.29 / $348.08 / $487.14	Professional		$262.29	$348.08	$487.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $113.89 / $377.11	Professional		$47.51	$113.89	$377.11