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 $115.29 / $195.72 / $295.95	Professional		$115.29	$195.72	$295.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.89 / $236.39 / $283.67	Professional		$192.89	$236.39	$283.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.92 / $224.73 / $292.33	Professional		$186.92	$224.73	$292.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $200.00 / $236.39	Professional		$142.90	$200.00	$236.39
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 $192.89 / $236.39 / $451.84	Professional		$192.89	$236.39	$451.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $146.82 / $237.73	Professional		$31.96	$146.82	$237.73