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 $85.67 / $159.31 / $287.20	Professional		$85.67	$159.31	$287.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.57 / $317.79 / $381.35	Professional		$274.57	$317.79	$381.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $157.60 / $197.00 / $2,077.00	Professional		$157.60	$197.00	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.04 / $254.23 / $317.79	Professional		$112.04	$254.23	$317.79
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 $216.98 / $301.66 / $403.26	Professional		$216.98	$301.66	$403.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $135.12 / $362.44	Professional		$45.31	$135.12	$362.44