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 $117.95 / $154.69 / $239.99	Professional		$117.95	$154.69	$239.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $218.75 / $465.55	Professional		$142.91	$218.75	$465.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $202.02 / $235.36 / $284.81	Professional		$202.02	$235.36	$284.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.24 / $218.75 / $300.24	Professional		$140.24	$218.75	$300.24
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 $187.09 / $268.08 / $343.83	Professional		$187.09	$268.08	$343.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $171.04 / $288.58	Professional		$36.36	$171.04	$288.58