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 $126.65 / $198.28 / $940.00	Professional		$126.65	$198.28	$940.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.66 / $299.83 / $359.79	Professional		$244.66	$299.83	$359.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $237.14 / $280.41 / $374.31	Professional		$237.14	$280.41	$374.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.09 / $239.86 / $299.83	Professional		$179.09	$239.86	$299.83
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 $244.66 / $299.83 / $574.96	Professional		$244.66	$299.83	$574.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $175.48 / $283.93	Professional		$40.93	$175.48	$283.93