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 $93.01 / $129.08 / $649.00	Professional		$93.01	$129.08	$649.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.57 / $145.47 / $242.53	Professional		$109.57	$145.47	$242.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $186.58 / $210.02	Professional		$159.69	$186.58	$210.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $213.42 / $271.63	Professional		$123.08	$213.42	$271.63
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 $188.74 / $242.53 / $259.31	Professional		$188.74	$242.53	$259.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $148.69 / $271.88	Professional		$33.99	$148.69	$271.88