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 $82.10 / $126.70 / $174.66	Professional		$82.10	$126.70	$174.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $177.82 / $383.28	Professional		$98.20	$177.82	$383.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $173.63 / $253.99	Professional		$146.84	$173.63	$253.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $182.55 / $250.56	Professional		$104.89	$182.55	$250.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $218.97 / $278.47	Professional		$143.88	$218.97	$278.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $125.30 / $243.37	Professional		$30.66	$125.30	$243.37