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 $77.87 / $126.75 / $232.78	Professional		$77.87	$126.75	$232.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $181.31 / $217.58	Professional		$147.94	$181.31	$217.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $185.08 / $218.86 / $270.36	Professional		$185.08	$218.86	$270.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $159.56 / $188.57	Professional		$81.70	$159.56	$188.57
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 $147.94 / $181.31 / $356.18	Professional		$147.94	$181.31	$356.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $95.06 / $186.89	Professional		$29.27	$95.06	$186.89