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 $147.21 / $220.37 / $415.08	Professional		$147.21	$220.37	$415.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.45 / $331.44 / $397.73	Professional		$270.45	$331.44	$397.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.31 / $318.45 / $411.50	Professional		$269.31	$318.45	$411.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $265.14 / $331.44	Professional		$200.00	$265.14	$331.44
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 $270.45 / $331.44 / $642.60	Professional		$270.45	$331.44	$642.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $213.65 / $2,387.00	Professional		$44.99	$213.65	$2,387.00