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 $99.60 / $154.63 / $364.98	Professional		$99.60	$154.63	$364.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $221.14 / $446.49	Professional		$115.78	$221.14	$446.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $177.48 / $211.14 / $292.66	Professional		$177.48	$211.14	$292.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $227.61 / $312.41	Professional		$126.08	$227.61	$312.41
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 $163.85 / $276.52 / $353.71	Professional		$163.85	$276.52	$353.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $187.04 / $3,113.00	Professional		$35.21	$187.04	$3,113.00