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 $139.27 / $230.40 / $456.81	Professional		$139.27	$230.40	$456.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.36 / $349.03 / $418.83	Professional		$277.36	$349.03	$418.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.31 / $292.79 / $443.14	Professional		$251.31	$292.79	$443.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.10 / $295.97 / $349.03	Professional		$175.10	$295.97	$349.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $349.03 / $441.14	Professional		$267.62	$349.03	$441.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $236.62 / $387.21	Professional		$48.45	$236.62	$387.21