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 $160.13 / $175.43 / $175.43	Professional		$160.13	$175.43	$175.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.07 / $265.93 / $319.11	Professional		$216.07	$265.93	$319.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $268.01 / $301.12 / $2,077.00	Professional		$268.01	$301.12	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.08 / $237.59 / $276.56	Professional		$209.08	$237.59	$276.56
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 $199.05 / $263.82 / $323.72	Professional		$199.05	$263.82	$323.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $215.73 / $275.80	Professional		$34.47	$215.73	$275.80