Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $112.19 / $187.53	Professional		$112.19	$112.19	$187.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $204.35 / $245.22	Professional		$166.75	$204.35	$245.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $155.58 / $181.26 / $266.39	Professional		$155.58	$181.26	$266.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $173.29 / $204.35	Professional		$106.24	$173.29	$204.35
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 $166.75 / $204.35 / $270.89	Professional		$166.75	$204.35	$270.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $131.72 / $231.19	Professional		$71.83	$131.72	$231.19