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 $75.27 / $164.19 / $217.64	Professional		$75.27	$164.19	$217.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $223.53 / $385.00	Professional		$93.04	$223.53	$385.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.22 / $148.97 / $305.41	Professional		$125.22	$148.97	$305.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $206.81 / $283.85	Professional		$87.30	$206.81	$283.85
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 $180.96 / $253.44 / $323.73	Professional		$180.96	$253.44	$323.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $108.25 / $1,800.00	Professional		$34.97	$108.25	$1,800.00