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 $79.43 / $119.65 / $527.04	Professional		$79.43	$119.65	$527.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $226.71 / $272.06	Professional		$185.00	$226.71	$272.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.86 / $220.97 / $276.87	Professional		$186.86	$220.97	$276.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.65 / $199.51 / $226.71	Professional		$141.65	$199.51	$226.71
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 $181.80 / $226.71 / $423.48	Professional		$181.80	$226.71	$423.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $335.37 / $4,233.00	Professional		$105.71	$335.37	$4,233.00