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 $172.56 / $239.09 / $581.99	Professional		$172.56	$239.09	$581.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $266.83 / $266.83	Facility		$266.83	$266.83	$266.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.76 / $380.34 / $642.19	Professional		$201.76	$380.34	$642.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $296.81 / $525.91	Professional		$251.00	$296.81	$525.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.57 / $367.03 / $445.43	Professional		$169.57	$367.03	$445.43
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 $321.77 / $445.43 / $594.26	Professional		$321.77	$445.43	$594.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $311.31 / $1,015.00	Professional		$65.63	$311.31	$1,015.00