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 $137.87 / $212.50 / $280.64	Professional		$137.87	$212.50	$280.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.36 / $273.00 / $543.35	Professional		$175.36	$273.00	$543.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $226.98 / $270.02 / $386.46	Professional		$226.98	$270.02	$386.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.93 / $241.01 / $330.79	Professional		$158.93	$241.01	$330.79
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 $222.26 / $295.35 / $395.24	Professional		$222.26	$295.35	$395.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $197.79 / $338.04	Professional		$42.25	$197.79	$338.04