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 $204.84 / $241.98 / $318.73	Professional		$204.84	$241.98	$318.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $353.76 / $656.59	Professional		$219.00	$353.76	$656.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $361.64 / $406.31 / $467.26	Professional		$361.64	$406.31	$467.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.31 / $339.61 / $396.21	Professional		$311.31	$339.61	$396.21
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 $239.45 / $353.76 / $451.47	Professional		$239.45	$353.76	$451.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $254.87 / $380.81	Professional		$29.27	$254.87	$380.81