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 $61.04 / $84.43 / $138.37	Professional		$61.04	$84.43	$138.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.32 / $106.85 / $128.22	Professional		$92.32	$106.85	$128.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $124.24 / $2,462.00	Professional		$108.09	$124.24	$2,462.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $94.03 / $107.04	Professional		$78.50	$94.03	$107.04
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 $76.90 / $102.36 / $135.26	Professional		$76.90	$102.36	$135.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $83.88 / $114.43	Professional		$29.27	$83.88	$114.43