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 $126.62 / $158.97 / $377.21	Professional		$126.62	$158.97	$377.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.73 / $301.14 / $361.37	Professional		$245.73	$301.14	$361.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $238.26 / $283.48 / $423.04	Professional		$238.26	$283.48	$423.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.34 / $240.91 / $301.14	Professional		$180.34	$240.91	$301.14
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 $245.73 / $301.14 / $577.34	Professional		$245.73	$301.14	$577.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $184.56 / $284.76	Professional		$41.05	$184.56	$284.76