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 $125.51 / $178.12 / $337.46	Professional		$125.51	$178.12	$337.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.93 / $269.52 / $323.43	Professional		$219.93	$269.52	$323.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $215.43 / $259.77 / $333.46	Professional		$215.43	$259.77	$333.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.09 / $215.62 / $269.52	Professional		$164.09	$215.62	$269.52
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 $219.93 / $269.52 / $520.36	Professional		$219.93	$269.52	$520.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $170.59 / $271.17	Professional		$36.46	$170.59	$271.17