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 $120.17 / $120.17 / $120.17	Professional		$120.17	$120.17	$120.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $147.13	Facility		$147.13	$147.13	$147.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $162.44 / $207.32	Professional		$148.69	$162.44	$207.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $189.41 / $207.28 / $244.72	Professional		$189.41	$207.28	$244.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $150.74 / $175.87	Professional		$138.18	$150.74	$175.87
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 $128.26 / $176.58 / $212.76	Professional		$128.26	$176.58	$212.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $154.34 / $234.95	Professional		$21.66	$154.34	$234.95