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 $117.40 / $204.80 / $519.00	Professional		$117.40	$204.80	$519.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $154.02 / $250.98	Professional		$131.47	$154.02	$250.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $195.84 / $225.33 / $2,342.00	Professional		$195.84	$225.33	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.77 / $220.86 / $281.08	Professional		$151.77	$220.86	$281.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.03 / $250.98 / $272.14	Professional		$198.03	$250.98	$272.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $166.29 / $278.70	Professional		$35.11	$166.29	$278.70