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 $125.16 / $236.38 / $343.78	Professional		$125.16	$236.38	$343.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $375.00 / $656.76	Professional		$142.22	$375.00	$656.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $244.81 / $490.38	Professional		$208.15	$244.81	$490.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.11 / $325.06 / $446.17	Professional		$144.11	$325.06	$446.17
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 $291.11 / $398.36 / $542.72	Professional		$291.11	$398.36	$542.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.14 / $176.89 / $445.64	Professional		$56.14	$176.89	$445.64