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 $172.06 / $172.06 / $175.96	Professional		$172.06	$172.06	$175.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.69 / $256.98 / $308.37	Professional		$209.69	$256.98	$308.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $260.02 / $292.14 / $2,077.00	Professional		$260.02	$292.14	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.14 / $246.70 / $287.81	Professional		$226.14	$246.70	$287.81
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 $187.69 / $256.98 / $305.12	Professional		$187.69	$256.98	$305.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $215.65 / $266.57	Professional		$33.32	$215.65	$266.57