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 $486.01 / $486.01 / $486.01	Professional		$486.01	$486.01	$486.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.13 / $265.11 / $660.83	Professional		$155.13	$265.11	$660.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $252.76 / $293.91	Professional		$224.97	$252.76	$293.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.41 / $212.09 / $247.44	Professional		$194.41	$212.09	$247.44
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 $164.25 / $255.80 / $606.64	Professional		$164.25	$255.80	$606.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $141.02 / $212.36	Professional		$26.55	$141.02	$212.36