Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $237.91 / $423.74	Professional		$167.25	$237.91	$423.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.39 / $325.64 / $390.77	Professional		$260.39	$325.64	$390.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $256.82 / $299.20 / $358.47	Professional		$256.82	$299.20	$358.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $276.14 / $325.64	Professional		$179.45	$276.14	$325.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.18 / $325.64 / $414.72	Professional		$239.18	$325.64	$414.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $208.68 / $360.40	Professional		$45.05	$208.68	$360.40