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 $119.31 / $191.15 / $226.69	Professional		$119.31	$191.15	$226.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.32 / $272.45 / $326.94	Professional		$222.32	$272.45	$326.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $206.27 / $248.50 / $336.67	Professional		$206.27	$248.50	$336.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $217.96 / $272.45	Professional		$157.63	$217.96	$272.45
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 $222.32 / $272.45 / $519.86	Professional		$222.32	$272.45	$519.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $163.63 / $273.77	Professional		$36.81	$163.63	$273.77