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 $113.46 / $156.84 / $706.00	Professional		$113.46	$156.84	$706.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $186.53 / $327.18	Professional		$153.71	$186.53	$327.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $243.50 / $327.00 / $385.86	Professional		$243.50	$327.00	$385.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.06 / $287.91 / $366.44	Professional		$184.06	$287.91	$366.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.39 / $327.18 / $333.87	Professional		$227.39	$327.18	$333.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $207.31 / $361.05	Professional		$45.49	$207.31	$361.05