Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,787.00 / $2,898.00	Facility		$988.00	$2,787.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.73 / $266.45 / $449.65	Professional		$195.73	$266.45	$449.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.29 / $276.74 / $338.18	Professional		$246.29	$276.74	$338.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $298.10 / $355.48 / $2,278.00	Professional		$298.10	$355.48	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.39 / $243.53 / $276.74	Professional		$221.39	$243.53	$276.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.82 / $276.74 / $358.58	Professional		$225.82	$276.74	$358.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.50 / $1,350.00 / $3,663.00	Professional		$234.50	$1,350.00	$3,663.00