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 $149.93 / $212.15 / $270.72	Professional		$149.93	$212.15	$270.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.47 / $282.16 / $535.72	Professional		$182.47	$282.16	$535.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $260.91 / $315.04 / $380.87	Professional		$260.91	$315.04	$380.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.98 / $254.97 / $342.55	Professional		$186.98	$254.97	$342.55
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 $207.27 / $305.85 / $388.87	Professional		$207.27	$305.85	$388.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $227.34 / $4,597.00	Professional		$41.64	$227.34	$4,597.00