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 $143.40 / $146.40 / $182.99	Professional		$143.40	$146.40	$182.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.35 / $212.89 / $228.20	Professional		$175.35	$212.89	$228.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $219.11 / $254.84 / $314.24	Professional		$219.11	$254.84	$314.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $200.82 / $255.58	Professional		$152.97	$200.82	$255.58
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 $186.21 / $228.20 / $284.12	Professional		$186.21	$228.20	$284.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $166.52 / $239.63	Professional		$124.16	$166.52	$239.63