Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $190.14 / $468.61	Professional		$93.74	$190.14	$468.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.59 / $261.60 / $354.04	Professional		$139.59	$261.60	$354.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $244.81 / $390.26	Professional		$200.62	$244.81	$390.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $311.55 / $396.52	Professional		$139.84	$311.55	$396.52
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 $288.89 / $354.04 / $431.99	Professional		$288.89	$354.04	$431.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $168.99 / $399.25	Professional		$50.30	$168.99	$399.25