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 $79.20 / $294.77 / $404.89	Professional		$79.20	$294.77	$404.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $355.36 / $627.82	Professional		$96.97	$355.36	$627.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $156.71 / $596.98	Professional		$132.53	$156.71	$596.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $355.36 / $487.75	Professional		$94.19	$355.36	$487.75
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 $317.08 / $435.49 / $579.71	Professional		$317.08	$435.49	$579.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $114.19 / $494.68	Professional		$75.83	$114.19	$494.68