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 $101.77 / $101.77 / $106.18	Professional		$101.77	$101.77	$106.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $136.47 / $136.47	Professional		$106.35	$136.47	$136.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $173.61 / $2,342.00	Professional		$150.88	$173.61	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $131.02 / $152.85	Professional		$120.10	$131.02	$152.85
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 $111.36 / $136.47 / $173.78	Professional		$111.36	$136.47	$173.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $109.37 / $147.35	Professional		$18.42	$109.37	$147.35