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 $137.94 / $157.62 / $264.39	Professional		$137.94	$157.62	$264.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.08 / $277.38 / $305.30	Professional		$180.08	$277.38	$305.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $355.05 / $424.63 / $518.65	Professional		$355.05	$424.63	$518.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $268.66 / $341.94	Professional		$151.72	$268.66	$341.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.12 / $305.30 / $391.59	Professional		$249.12	$305.30	$391.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.99 / $191.23 / $341.45	Professional		$126.99	$191.23	$341.45