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 $171.74 / $265.50 / $454.91	Professional		$171.74	$265.50	$454.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.21 / $301.76 / $342.84	Professional		$200.21	$301.76	$342.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $284.49 / $336.41 / $445.40	Professional		$284.49	$336.41	$445.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.94 / $301.70 / $383.98	Professional		$192.94	$301.70	$383.98
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 $279.76 / $342.84 / $446.00	Professional		$279.76	$342.84	$446.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $240.87 / $386.55	Professional		$48.70	$240.87	$386.55