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 $145.13 / $182.95 / $871.05	Professional		$145.13	$182.95	$871.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $177.85 / $213.42	Professional		$145.13	$177.85	$213.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.90 / $291.56 / $475.39	Professional		$251.90	$291.56	$475.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.46 / $156.51 / $184.96	Professional		$117.46	$156.51	$184.96
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 $145.13 / $177.85 / $377.32	Professional		$145.13	$177.85	$377.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $126.75 / $251.66	Professional		$24.51	$126.75	$251.66