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 $100.98 / $137.74 / $190.33	Professional		$100.98	$137.74	$190.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $189.86 / $436.96	Professional		$122.08	$189.86	$436.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $172.45 / $205.16 / $277.64	Professional		$172.45	$205.16	$277.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $189.24 / $259.74	Professional		$122.32	$189.24	$259.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $231.11 / $299.20	Professional		$157.47	$231.11	$299.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $149.09 / $254.57	Professional		$32.07	$149.09	$254.57