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 $75.56 / $184.41 / $318.60	Professional		$75.56	$184.41	$318.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.55 / $241.38 / $289.64	Professional		$208.55	$241.38	$289.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $147.56 / $2,077.00	Professional		$113.99	$147.56	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $193.10 / $241.38	Professional		$74.64	$193.10	$241.38
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 $167.44 / $239.83 / $305.91	Professional		$167.44	$239.83	$305.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $91.02 / $271.77	Professional		$33.97	$91.02	$271.77