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 $71.09 / $145.40 / $280.77	Professional		$71.09	$145.40	$280.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $189.03 / $213.84	Professional		$89.41	$189.03	$213.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $138.43 / $268.82	Professional		$111.80	$138.43	$268.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $188.18 / $239.50	Professional		$75.75	$188.18	$239.50
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 $174.49 / $213.84 / $264.83	Professional		$174.49	$213.84	$264.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $2,021.27 / $4,023.00	Professional		$84.96	$2,021.27	$4,023.00