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 $172.98 / $281.02 / $679.09	Professional		$172.98	$281.02	$679.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $308.91 / $668.71	Professional		$194.93	$308.91	$668.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $311.26 / $370.29 / $438.40	Professional		$311.26	$370.29	$438.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.76 / $308.19 / $423.01	Professional		$220.76	$308.19	$423.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.65 / $369.12 / $468.50	Professional		$254.65	$369.12	$468.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $241.98 / $1,800.00	Professional		$33.96	$241.98	$1,800.00