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 $161.52 / $166.55 / $584.02	Professional		$161.52	$166.55	$584.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.42 / $588.29 / $631.39	Professional		$184.42	$588.29	$631.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $271.27 / $817.42	Professional		$229.41	$271.27	$817.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.12 / $555.62 / $707.15	Professional		$143.12	$555.62	$707.15
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 $515.21 / $740.04 / $1,071.17	Professional		$515.21	$740.04	$1,071.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $175.88 / $717.92	Professional		$90.45	$175.88	$717.92