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 $88.91 / $115.24 / $516.72	Professional		$88.91	$115.24	$516.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $464.10 / $492.05	Professional		$106.95	$464.10	$492.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $159.91 / $617.75	Professional		$138.84	$159.91	$617.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $433.00 / $492.05	Professional		$91.49	$433.00	$492.05
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 $401.51 / $529.59 / $746.55	Professional		$401.51	$529.59	$746.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $103.30 / $561.94	Professional		$69.14	$103.30	$561.94