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 $81.28 / $81.28 / $98.44	Professional		$81.28	$81.28	$98.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $108.53 / $130.22	Professional		$93.77	$108.53	$130.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $111.33 / $127.96 / $2,462.00	Professional		$111.33	$127.96	$2,462.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $95.50 / $108.53	Professional		$79.16	$95.50	$108.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $106.53 / $134.28	Professional		$78.12	$106.53	$134.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $79.56 / $118.35	Professional		$29.27	$79.56	$118.35