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 $164.99 / $358.85 / $418.87	Professional		$164.99	$358.85	$418.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.39 / $384.68 / $483.12	Professional		$214.39	$384.68	$483.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $226.46 / $287.26 / $466.37	Professional		$226.46	$287.26	$466.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $338.51 / $384.68	Professional		$150.30	$338.51	$384.68
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 $313.89 / $391.66 / $540.84	Professional		$313.89	$391.66	$540.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.49 / $8,240.00 / $12,905.00	Professional		$174.49	$8,240.00	$12,905.00