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 $123.43 / $159.87 / $487.00	Professional		$123.43	$159.87	$487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.09 / $253.79 / $304.55	Professional		$207.09	$253.79	$304.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $236.49 / $279.64 / $335.82	Professional		$236.49	$279.64	$335.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $214.52 / $253.79	Professional		$180.81	$214.52	$253.79
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 $210.87 / $253.79 / $316.56	Professional		$210.87	$253.79	$316.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $183.43 / $3,580.00	Professional		$34.53	$183.43	$3,580.00