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 $143.69 / $180.95 / $180.95	Professional		$143.69	$180.95	$180.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.25 / $208.61 / $222.21	Professional		$178.25	$208.61	$222.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $252.09 / $290.06 / $2,342.00	Professional		$252.09	$290.06	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.58 / $200.27 / $233.65	Professional		$183.58	$200.27	$233.65
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 $170.23 / $208.61 / $276.20	Professional		$170.23	$208.61	$276.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $153.24 / $322.27	Professional		$28.76	$153.24	$322.27