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 $103.90 / $171.40 / $237.18	Professional		$103.90	$171.40	$237.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $199.93 / $365.31	Professional		$135.41	$199.93	$365.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $207.97 / $233.66 / $275.72	Professional		$207.97	$233.66	$275.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.50 / $197.06 / $229.91	Professional		$167.50	$197.06	$229.91
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 $142.97 / $205.28 / $272.94	Professional		$142.97	$205.28	$272.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $152.26 / $229.29	Professional		$28.66	$152.26	$229.29