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 $171.37 / $178.92 / $198.28	Professional		$171.37	$178.92	$198.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $222.39 / $239.11	Professional		$184.00	$222.39	$239.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $293.61 / $2,077.00	Professional		$260.83	$293.61	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.80 / $229.55 / $267.81	Professional		$181.80	$229.55	$267.81
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 $195.12 / $239.11 / $301.52	Professional		$195.12	$239.11	$301.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $182.58 / $258.52	Professional		$32.32	$182.58	$258.52