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 $121.10 / $143.31 / $143.31	Professional		$121.10	$143.31	$143.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $194.13 / $194.13	Professional		$157.21	$194.13	$194.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $202.16 / $227.13 / $2,376.00	Professional		$202.16	$227.13	$2,376.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $186.36 / $217.42	Professional		$170.83	$186.36	$217.42
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 $158.41 / $194.13 / $246.38	Professional		$158.41	$194.13	$246.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $185.27 / $279.52	Professional		$26.00	$185.27	$279.52