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 $99.36 / $253.23 / $778.86	Professional		$99.36	$253.23	$778.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.31 / $704.96 / $1,466.50	Professional		$125.31	$704.96	$1,466.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $155.05 / $184.46 / $238.27	Professional		$155.05	$184.46	$238.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $702.79 / $913.63	Professional		$109.14	$702.79	$913.63
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 $573.98 / $871.25 / $1,097.38	Professional		$573.98	$871.25	$1,097.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $138.52 / $925.41	Professional		$113.63	$138.52	$925.41