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 $133.00 / $229.77 / $356.75	Professional		$133.00	$229.77	$356.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.05 / $274.58 / $329.49	Professional		$224.05	$274.58	$329.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $216.54 / $260.51 / $339.17	Professional		$216.54	$260.51	$339.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.91 / $219.66 / $274.58	Professional		$164.91	$219.66	$274.58
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 $224.05 / $274.58 / $528.70	Professional		$224.05	$274.58	$528.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $171.79 / $275.82	Professional		$37.08	$171.79	$275.82