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 $111.95 / $175.13 / $504.22	Professional		$111.95	$175.13	$504.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $187.59 / $225.11	Professional		$148.86	$187.59	$225.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $188.63 / $217.27 / $238.99	Professional		$188.63	$217.27	$238.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $165.08 / $187.59	Professional		$128.69	$165.08	$187.59
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 $153.07 / $187.59 / $238.02	Professional		$153.07	$187.59	$238.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $148.91 / $201.52	Professional		$107.86	$148.91	$201.52