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 $103.26 / $138.74 / $704.21	Professional		$103.26	$138.74	$704.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.27 / $159.79 / $193.34	Professional		$124.27	$159.79	$193.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $185.64 / $257.89	Professional		$156.99	$185.64	$257.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $170.14 / $216.54	Professional		$107.18	$170.14	$216.54
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 $157.76 / $193.34 / $236.85	Professional		$157.76	$193.34	$236.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $132.91 / $242.11	Professional		$29.27	$132.91	$242.11