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 $111.35 / $174.56 / $238.59	Professional		$111.35	$174.56	$238.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.13 / $247.71 / $297.26	Professional		$202.13	$247.71	$297.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $191.67 / $231.50 / $307.38	Professional		$191.67	$231.50	$307.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.12 / $200.00 / $247.71	Professional		$146.12	$200.00	$247.71
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 $202.13 / $247.71 / $473.54	Professional		$202.13	$247.71	$473.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $152.06 / $249.96	Professional		$33.61	$152.06	$249.96