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 $146.93 / $277.00 / $688.46	Professional		$146.93	$277.00	$688.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.97 / $345.55 / $414.66	Professional		$281.97	$345.55	$414.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $242.37 / $292.79 / $430.28	Professional		$242.37	$292.79	$430.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.67 / $276.44 / $345.55	Professional		$183.67	$276.44	$345.55
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 $254.73 / $345.55 / $625.16	Professional		$254.73	$345.55	$625.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $205.96 / $7,138.00	Professional		$47.88	$205.96	$7,138.00