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 $26.16 / $119.20 / $529.00	Professional		$26.16	$119.20	$529.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $152.21 / $182.66	Professional		$123.39	$152.21	$182.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $54.22 / $192.01	Professional		$47.07	$54.22	$192.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $129.08 / $152.21	Professional		$31.74	$129.08	$152.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $152.21 / $215.42	Professional		$124.21	$152.21	$215.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $40.17 / $174.49	Professional		$26.67	$40.17	$174.49