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 $69.09 / $195.56 / $313.91	Professional		$69.09	$195.56	$313.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $239.90 / $439.70	Professional		$76.23	$239.90	$439.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $110.24 / $350.32	Professional		$92.66	$110.24	$350.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $298.99 / $410.38	Professional		$82.46	$298.99	$410.38
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 $226.60 / $359.13 / $457.00	Professional		$226.60	$359.13	$457.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $1,159.00 / $4,023.00	Professional		$82.83	$1,159.00	$4,023.00