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 $98.62 / $153.41 / $323.89	Professional		$98.62	$153.41	$323.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $200.83 / $426.37	Professional		$124.80	$200.83	$426.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $202.34 / $290.37	Professional		$170.09	$202.34	$290.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $201.44 / $276.49	Professional		$121.98	$201.44	$276.49
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 $148.69 / $246.37 / $348.83	Professional		$148.69	$246.37	$348.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $166.69 / $3,113.00	Professional		$31.38	$166.69	$3,113.00