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 $162.13 / $162.13 / $235.05	Professional		$162.13	$162.13	$235.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $342.01 / $410.42	Professional		$255.18	$342.01	$410.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $250.14 / $288.12 / $376.22	Professional		$250.14	$288.12	$376.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.15 / $290.02 / $342.01	Professional		$179.15	$290.02	$342.01
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 $245.41 / $334.47 / $402.92	Professional		$245.41	$334.47	$402.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $211.79 / $344.59	Professional		$43.07	$211.79	$344.59