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 $209.04 / $268.57 / $275.64	Professional		$209.04	$268.57	$275.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.87 / $300.00 / $883.45	Professional		$243.87	$300.00	$883.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $333.99 / $375.25 / $451.87	Professional		$333.99	$375.25	$451.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.40 / $267.70 / $312.33	Professional		$245.40	$267.70	$312.33
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 $227.55 / $294.77 / $371.28	Professional		$227.55	$294.77	$371.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $221.27 / $2,772.17	Professional		$148.10	$221.27	$2,772.17