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 $79.73 / $160.10 / $257.70	Professional		$79.73	$160.10	$257.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.56 / $196.76 / $236.12	Professional		$160.56	$196.76	$236.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $166.82 / $242.70	Professional		$137.84	$166.82	$242.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $173.15 / $200.00	Professional		$106.80	$173.15	$200.00
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 $155.19 / $196.76 / $363.28	Professional		$155.19	$196.76	$363.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $109.35 / $197.36	Professional		$26.54	$109.35	$197.36