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 $170.61 / $245.28 / $370.22	Professional		$170.61	$245.28	$370.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $341.50 / $813.16	Professional		$195.00	$341.50	$813.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $308.63 / $364.95 / $516.30	Professional		$308.63	$364.95	$516.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.45 / $383.91 / $526.92	Professional		$230.45	$383.91	$526.92
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 $291.72 / $470.48 / $582.23	Professional		$291.72	$470.48	$582.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $274.14 / $509.77	Professional		$64.22	$274.14	$509.77