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 $111.95 / $194.65 / $323.98	Professional		$111.95	$194.65	$323.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.34 / $254.09 / $304.91	Professional		$207.34	$254.09	$304.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $193.31 / $233.02 / $314.76	Professional		$193.31	$233.02	$314.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.32 / $203.27 / $254.09	Professional		$147.32	$203.27	$254.09
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 $207.34 / $254.09 / $484.60	Professional		$207.34	$254.09	$484.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $153.36 / $255.97	Professional		$34.42	$153.36	$255.97