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 $125.61 / $208.82 / $786.00	Professional		$125.61	$208.82	$786.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.48 / $260.39 / $312.47	Professional		$212.48	$260.39	$312.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $197.18 / $233.17 / $320.00	Professional		$197.18	$233.17	$320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $208.31 / $260.39	Professional		$148.88	$208.31	$260.39
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 $207.43 / $260.39 / $493.08	Professional		$207.43	$260.39	$493.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $157.74 / $3,113.00	Professional		$35.78	$157.74	$3,113.00