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 $166.40 / $226.99 / $321.89	Professional		$166.40	$226.99	$321.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.13 / $315.02 / $737.13	Professional		$181.13	$315.02	$737.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $298.86 / $355.54 / $445.21	Professional		$298.86	$355.54	$445.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.11 / $334.35 / $458.91	Professional		$228.11	$334.35	$458.91
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 $256.36 / $405.60 / $510.05	Professional		$256.36	$405.60	$510.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $256.80 / $463.92	Professional		$58.45	$256.80	$463.92