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 $100.90 / $119.01 / $612.90	Professional		$100.90	$119.01	$612.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $133.88 / $219.00	Professional		$114.81	$133.88	$219.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.01 / $194.46 / $2,342.00	Professional		$169.01	$194.46	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $192.72 / $245.28	Professional		$131.40	$192.72	$245.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.01 / $219.00 / $235.43	Professional		$171.01	$219.00	$235.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $161.65 / $4,597.00	Professional		$30.65	$161.65	$4,597.00