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 $75.87 / $240.49 / $842.00	Professional		$75.87	$240.49	$842.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $119.71 / $119.71	Facility		$119.71	$119.71	$119.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $220.68 / $288.77	Professional		$73.70	$220.68	$288.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $121.65 / $311.16	Professional		$105.62	$121.65	$311.16
HMSA Facility/Professional Professional Modifier AS Low / Median / High Price $17.96 / $20.68 / $52.90	Professional	AS	$17.96	$20.68	$52.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $194.19 / $229.50	Professional		$71.54	$194.19	$229.50
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 $165.32 / $220.68 / $314.31	Professional		$165.32	$220.68	$314.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $83.08 / $241.13	Professional		$30.38	$83.08	$241.13