Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $1,449.00 / $2,898.00	Facility		$988.00	$1,449.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $135.18 / $197.43	Professional		$123.08	$135.18	$197.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $161.85 / $163.69	Professional		$135.16	$161.85	$163.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $200.24 / $224.98 / $265.48	Professional		$200.24	$224.98	$265.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $155.38 / $181.27	Professional		$142.43	$155.38	$181.27
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 $161.85 / $161.85 / $214.67	Professional		$161.85	$161.85	$214.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $159.78 / $179.40	Professional		$22.43	$159.78	$179.40