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 $175.36 / $268.57 / $679.24	Professional		$175.36	$268.57	$679.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.56 / $722.03 / $1,193.74	Professional		$224.56	$722.03	$1,193.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $336.68 / $436.31	Professional		$283.00	$336.68	$436.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.71 / $589.16 / $750.91	Professional		$196.71	$589.16	$750.91
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 $548.86 / $722.03 / $951.71	Professional		$548.86	$722.03	$951.71