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 $111.00 / $183.61 / $317.02	Professional		$111.00	$183.61	$317.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.14 / $242.81 / $291.38	Professional		$198.14	$242.81	$291.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $220.28 / $310.17	Professional		$177.90	$220.28	$310.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $200.00 / $242.81	Professional		$131.41	$200.00	$242.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.14 / $242.81 / $485.88	Professional		$198.14	$242.81	$485.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $1,159.00 / $4,035.20	Professional		$100.81	$1,159.00	$4,035.20