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 $155.49 / $155.49 / $173.28	Professional		$155.49	$155.49	$173.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.33 / $327.39 / $392.88	Professional		$229.33	$327.39	$392.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $267.44 / $300.48 / $2,077.00	Professional		$267.44	$300.48	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.05 / $288.11 / $327.39	Professional		$239.05	$288.11	$327.39
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 $206.44 / $327.39 / $384.26	Professional		$206.44	$327.39	$384.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $223.98 / $334.66	Professional		$42.16	$223.98	$334.66