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 $145.69 / $262.50 / $456.36	Professional		$145.69	$262.50	$456.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.22 / $364.24 / $437.09	Professional		$297.22	$364.24	$437.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $306.56 / $362.51 / $475.39	Professional		$306.56	$362.51	$475.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.88 / $291.39 / $364.24	Professional		$215.88	$291.39	$364.24
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 $297.22 / $364.24 / $712.76	Professional		$297.22	$364.24	$712.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.37 / $1,610.00 / $3,956.00	Professional		$204.37	$1,610.00	$3,956.00