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 $144.75 / $168.58 / $291.77	Professional		$144.75	$168.58	$291.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.97 / $222.37 / $229.86	Professional		$186.97	$222.37	$229.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $248.15 / $280.41 / $352.37	Professional		$248.15	$280.41	$352.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.98 / $216.34 / $257.45	Professional		$169.98	$216.34	$257.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $229.86 / $298.62	Professional		$187.57	$229.86	$298.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $2,387.00 / $4,035.20	Professional		$167.51	$2,387.00	$4,035.20