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 $113.99 / $150.62 / $170.05	Professional		$113.99	$150.62	$170.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $173.87 / $213.48	Professional		$137.19	$173.87	$213.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $176.36 / $208.55 / $255.58	Professional		$176.36	$208.55	$255.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $187.86 / $239.09	Professional		$121.22	$187.86	$239.09
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 $174.20 / $213.48 / $259.05	Professional		$174.20	$213.48	$259.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $150.49 / $12,320.00	Professional		$29.32	$150.49	$12,320.00