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 $165.05 / $405.06 / $454.09	Professional		$165.05	$405.06	$454.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.85 / $351.66 / $469.91	Professional		$215.85	$351.66	$469.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $220.06 / $279.14 / $443.15	Professional		$220.06	$279.14	$443.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $309.45 / $351.66	Professional		$146.71	$309.45	$351.66
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 $286.95 / $371.02 / $511.19	Professional		$286.95	$371.02	$511.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $8,240.00 / $12,905.00	Professional		$172.06	$8,240.00	$12,905.00