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 $64.53 / $75.37 / $272.17	Professional		$64.53	$75.37	$272.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $312.13 / $312.38	Professional		$96.54	$312.13	$312.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $143.68 / $426.24	Professional		$124.74	$143.68	$426.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $274.67 / $349.58	Professional		$74.76	$274.67	$349.58
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 $254.69 / $334.03 / $480.29	Professional		$254.69	$334.03	$480.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $91.35 / $338.55	Professional		$29.27	$91.35	$338.55