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 $74.09 / $85.28 / $143.61	Professional		$74.09	$85.28	$143.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.21 / $186.54 / $223.85	Professional		$152.21	$186.54	$223.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $163.63 / $228.82	Professional		$137.24	$163.63	$228.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.37 / $164.15 / $194.00	Professional		$106.37	$164.15	$194.00
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 $152.25 / $231.92 / $347.96	Professional		$152.25	$231.92	$347.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $108.87 / $186.07	Professional		$25.02	$108.87	$186.07