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 $107.15 / $107.15 / $111.40	Professional		$107.15	$107.15	$111.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.01 / $171.11 / $205.34	Professional		$134.01	$171.11	$205.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $572.04 / $626.04 / $739.12	Professional		$572.04	$626.04	$739.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.58 / $164.27 / $191.65	Professional		$150.58	$164.27	$191.65
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 $135.74 / $171.11 / $208.35	Professional		$135.74	$171.11	$208.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $166.17 / $186.57	Professional		$23.32	$166.17	$186.57