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 $13.68 / $81.42 / $687.78	Professional		$13.68	$81.42	$687.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.12 / $595.54 / $962.31	Professional		$83.12	$595.54	$962.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $127.07 / $1,032.76	Professional		$107.45	$127.07	$1,032.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $622.04 / $792.81	Professional		$73.54	$622.04	$792.81
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 $531.76 / $762.31 / $1,037.42	Professional		$531.76	$762.31	$1,037.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $878.34 / $3,663.00	Professional		$78.95	$878.34	$3,663.00