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 $109.44 / $116.37 / $145.41	Professional		$109.44	$116.37	$145.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.19 / $161.22 / $483.24	Professional		$126.19	$161.22	$483.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $253.98 / $295.13	Professional		$220.50	$253.98	$295.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.00 / $670.00 / $670.00	Professional		$670.00	$670.00	$670.00
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 $112.30 / $164.67 / $217.95	Professional		$112.30	$164.67	$217.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Professional		$29.27	$29.27	$29.27