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 $598.87 / $598.87 / $598.87	Professional		$598.87	$598.87	$598.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $285.39 / $695.47	Professional		$166.99	$285.39	$695.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $246.14 / $276.55 / $321.58	Professional		$246.14	$276.55	$321.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.29 / $228.31 / $266.36	Professional		$209.29	$228.31	$266.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $302.39 / $660.86	Professional		$166.99	$302.39	$660.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $151.81 / $228.61	Professional		$28.58	$151.81	$228.61