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 $77.04 / $127.01 / $383.57	Professional		$77.04	$127.01	$383.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.15 / $291.11 / $349.34	Professional		$231.15	$291.11	$349.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $129.56 / $150.94 / $375.86	Professional		$129.56	$150.94	$375.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $246.86 / $291.11	Professional		$89.78	$246.86	$291.11
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 $216.82 / $291.11 / $359.27	Professional		$216.82	$291.11	$359.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $110.69 / $304.18	Professional		$38.32	$110.69	$304.18