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 $175.55 / $253.90 / $466.11	Professional		$175.55	$253.90	$466.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.87 / $362.11 / $434.54	Professional		$312.87	$362.11	$434.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $327.29 / $382.38 / $3,857.00	Professional		$327.29	$382.38	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.31 / $311.33 / $362.11	Professional		$228.31	$311.33	$362.11
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 $263.38 / $338.00 / $459.89	Professional		$263.38	$338.00	$459.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $185.46 / $369.57 / $4,916.00	Professional		$185.46	$369.57	$4,916.00