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 $76.34 / $188.51 / $675.00	Professional		$76.34	$188.51	$675.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $152.12 / $198.00	Professional		$89.95	$152.12	$198.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $135.90 / $229.61	Professional		$66.73	$135.90	$229.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $174.24 / $221.76	Professional		$82.26	$174.24	$221.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.57 / $198.00 / $240.42	Professional		$161.57	$198.00	$240.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $5,948.00 / $9,325.00	Professional		$82.58	$5,948.00	$9,325.00