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 $164.59 / $199.28 / $336.55	Professional		$164.59	$199.28	$336.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.55 / $288.66 / $346.40	Professional		$235.55	$288.66	$346.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $293.18 / $329.40 / $2,077.00	Professional		$293.18	$329.40	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.68 / $259.86 / $300.20	Professional		$228.68	$259.86	$300.20
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 $215.91 / $286.06 / $353.18	Professional		$215.91	$286.06	$353.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $241.20 / $301.70	Professional		$37.71	$241.20	$301.70