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 $164.12 / $188.03 / $188.03	Professional		$164.12	$188.03	$188.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.41 / $299.64 / $359.58	Professional		$235.41	$299.64	$359.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $291.94 / $343.46 / $394.98	Professional		$291.94	$343.46	$394.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $263.69 / $303.27	Professional		$222.40	$263.69	$303.27
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 $220.37 / $258.89 / $360.95	Professional		$220.37	$258.89	$360.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $228.36 / $308.47	Professional		$38.56	$228.36	$308.47