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 $132.32 / $189.53 / $375.47	Professional		$132.32	$189.53	$375.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.91 / $297.69 / $357.23	Professional		$242.91	$297.69	$357.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $286.97 / $330.54 / $475.39	Professional		$286.97	$330.54	$475.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.50 / $259.00 / $297.69	Professional		$203.50	$259.00	$297.69
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 $242.91 / $297.69 / $574.46	Professional		$242.91	$297.69	$574.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $216.86 / $1,402.00	Professional		$40.42	$216.86	$1,402.00