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 $99.04 / $136.11 / $184.42	Professional		$99.04	$136.11	$184.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.57 / $182.46 / $385.00	Professional		$120.57	$182.46	$385.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $174.21 / $207.25 / $241.26	Professional		$174.21	$207.25	$241.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.40 / $168.10 / $213.95	Professional		$126.40	$168.10	$213.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $191.03 / $343.36	Professional		$132.06	$191.03	$343.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $140.13 / $211.03	Professional		$29.27	$140.13	$211.03