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 $130.38 / $135.43 / $241.68	Professional		$130.38	$135.43	$241.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.73 / $204.55 / $245.46	Professional		$176.73	$204.55	$245.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $211.12 / $237.20 / $2,540.00	Professional		$211.12	$237.20	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.79 / $185.22 / $216.09	Professional		$169.79	$185.22	$216.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.46 / $195.98 / $258.57	Professional		$147.46	$195.98	$258.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $1,174.00 / $4,023.00	Professional		$136.16	$1,174.00	$4,023.00