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 $101.84 / $155.37 / $307.27	Professional		$101.84	$155.37	$307.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.05 / $233.85 / $280.62	Professional		$202.05	$233.85	$280.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $187.18 / $2,077.00	Professional		$151.16	$187.18	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $187.08 / $233.85	Professional		$107.26	$187.08	$233.85
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 $165.56 / $223.44 / $300.30	Professional		$165.56	$223.44	$300.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $129.00 / $275.94	Professional		$32.77	$129.00	$275.94