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 $154.11 / $168.70 / $240.43	Professional		$154.11	$168.70	$240.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.43 / $331.39 / $397.67	Professional		$259.43	$331.39	$397.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $258.27 / $305.41 / $415.18	Professional		$258.27	$305.41	$415.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.47 / $281.02 / $331.39	Professional		$182.47	$281.02	$331.39
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 $257.48 / $331.39 / $422.97	Professional		$257.48	$331.39	$422.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $229.53 / $363.16	Professional		$45.40	$229.53	$363.16