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 $92.67 / $106.08 / $501.00	Professional		$92.67	$106.08	$501.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $119.66 / $201.31	Professional		$102.30	$119.66	$201.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $165.01 / $6,874.20	Professional		$72.06	$165.01	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.42 / $177.16 / $225.47	Professional		$124.42	$177.16	$225.47
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 $155.81 / $201.31 / $214.76	Professional		$155.81	$201.31	$214.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $150.94 / $225.54	Professional		$29.27	$150.94	$225.54