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 $146.15 / $146.15 / $278.94	Professional		$146.15	$146.15	$278.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.65 / $243.65 / $243.65	Facility		$243.65	$243.65	$243.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $384.71 / $561.39	Professional		$191.65	$384.71	$561.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $231.35 / $284.70 / $505.33	Professional		$231.35	$284.70	$505.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $328.83 / $399.06	Professional		$153.31	$328.83	$399.06
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 $305.08 / $399.06 / $562.38	Professional		$305.08	$399.06	$562.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $197.41 / $474.87	Professional		$59.36	$197.41	$474.87