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 $180.24 / $256.19 / $334.52	Professional		$180.24	$256.19	$334.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.97 / $384.76 / $461.72	Professional		$313.97	$384.76	$461.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $331.58 / $392.10 / $478.61	Professional		$331.58	$392.10	$478.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.71 / $307.81 / $384.76	Professional		$232.71	$307.81	$384.76
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 $313.97 / $384.76 / $760.42	Professional		$313.97	$384.76	$760.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $245.78 / $363.04	Professional		$52.33	$245.78	$363.04