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 $118.95 / $133.46 / $771.40	Professional		$118.95	$133.46	$771.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.53 / $753.33 / $802.14	Professional		$146.53	$753.33	$802.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $221.25 / $254.85 / $1,040.19	Professional		$221.25	$254.85	$1,040.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $662.93 / $753.33	Professional		$163.47	$662.93	$753.33
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 $614.71 / $839.10 / $1,184.03	Professional		$614.71	$839.10	$1,184.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $176.10 / $1,974.69	Professional		$24.50	$176.10	$1,974.69