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 $121.92 / $159.31 / $288.44	Professional		$121.92	$159.31	$288.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $184.36 / $226.03	Professional		$146.91	$184.36	$226.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $188.72 / $223.16 / $271.58	Professional		$188.72	$223.16	$271.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $198.90 / $253.15	Professional		$130.22	$198.90	$253.15
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 $184.44 / $226.03 / $275.07	Professional		$184.44	$226.03	$275.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $159.78 / $248.13	Professional		$106.94	$159.78	$248.13