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 $143.00 / $205.22 / $372.89	Professional		$143.00	$205.22	$372.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.93 / $286.68 / $344.01	Professional		$233.93	$286.68	$344.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.47 / $245.33 / $340.67	Professional		$204.47	$245.33	$340.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $229.34 / $286.68	Professional		$153.97	$229.34	$286.68
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 $256.72 / $286.68 / $352.91	Professional		$256.72	$286.68	$352.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $162.21 / $273.80	Professional		$39.47	$162.21	$273.80