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 $81.00 / $93.39 / $179.16	Professional		$81.00	$93.39	$179.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $137.33 / $164.79	Professional		$118.65	$137.33	$164.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $142.09 / $159.63 / $2,540.00	Professional		$142.09	$159.63	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.52 / $126.02 / $147.03	Professional		$115.52	$126.02	$147.03
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 $96.02 / $130.65 / $171.00	Professional		$96.02	$130.65	$171.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $123.46 / $206.96	Professional		$29.27	$123.46	$206.96