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 $156.21 / $213.50 / $272.64	Professional		$156.21	$213.50	$272.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.85 / $317.20 / $380.66	Professional		$258.85	$317.20	$380.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $271.38 / $322.68 / $440.59	Professional		$271.38	$322.68	$440.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $253.77 / $317.20	Professional		$200.00	$253.77	$317.20
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 $187.11 / $317.20 / $402.39	Professional		$187.11	$317.20	$402.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $209.97 / $317.94	Professional		$42.75	$209.97	$317.94