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 $247.64 / $308.25 / $430.07	Professional		$247.64	$308.25	$430.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.47 / $486.26 / $502.48	Professional		$380.47	$486.26	$502.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $407.06 / $494.71 / $556.87	Professional		$407.06	$494.71	$556.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.93 / $427.91 / $544.61	Professional		$317.93	$427.91	$544.61
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 $396.79 / $486.26 / $641.51	Professional		$396.79	$486.26	$641.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $359.83 / $537.50	Professional		$67.19	$359.83	$537.50