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 $110.64 / $146.49 / $750.00	Professional		$110.64	$146.49	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $169.06 / $205.71	Professional		$133.16	$169.06	$205.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $168.95 / $199.79 / $248.52	Professional		$168.95	$199.79	$248.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $181.03 / $230.40	Professional		$116.03	$181.03	$230.40
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 $167.86 / $205.71 / $251.72	Professional		$167.86	$205.71	$251.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $128.40 / $226.69	Professional		$29.27	$128.40	$226.69