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 $28.52 / $119.34 / $333.27	Professional		$28.52	$119.34	$333.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $159.06 / $308.00	Professional		$67.02	$159.06	$308.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $105.04 / $252.87	Professional		$86.99	$105.04	$252.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $204.50 / $280.69	Professional		$62.73	$204.50	$280.69
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 $161.51 / $245.43 / $307.02	Professional		$161.51	$245.43	$307.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $253.29 / $3,663.00	Professional		$51.26	$253.29	$3,663.00