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 $161.94 / $227.65 / $413.94	Professional		$161.94	$227.65	$413.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.99 / $319.83 / $383.81	Professional		$260.99	$319.83	$383.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.97 / $326.44 / $399.12	Professional		$269.97	$326.44	$399.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $255.87 / $319.83	Professional		$200.00	$255.87	$319.83
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 $260.99 / $319.83 / $626.66	Professional		$260.99	$319.83	$626.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $208.94 / $321.04	Professional		$43.16	$208.94	$321.04