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 $107.12 / $118.37 / $205.32	Professional		$107.12	$118.37	$205.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $287.18 / $426.22	Professional		$156.16	$287.18	$426.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $182.55 / $217.17 / $433.63	Professional		$182.55	$217.17	$433.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $270.48 / $328.25	Professional		$127.79	$270.48	$328.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.49 / $328.25 / $434.18	Professional		$235.49	$328.25	$434.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $159.07 / $379.30	Professional		$105.63	$159.07	$379.30