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 $105.92 / $169.30 / $297.39	Professional		$105.92	$169.30	$297.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $210.05 / $225.20	Professional		$125.10	$210.05	$225.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $152.26 / $188.53 / $282.63	Professional		$152.26	$188.53	$282.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $198.18 / $252.22	Professional		$103.32	$198.18	$252.22
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 $183.76 / $225.20 / $270.35	Professional		$183.76	$225.20	$270.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $121.29 / $230.69	Professional		$29.27	$121.29	$230.69