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 $122.90 / $216.88 / $265.33	Professional		$122.90	$216.88	$265.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.43 / $206.75 / $248.10	Professional		$164.43	$206.75	$248.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $199.72 / $312.74	Professional		$168.90	$199.72	$312.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $175.32 / $206.75	Professional		$117.35	$175.32	$206.75
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 $168.71 / $206.75 / $265.23	Professional		$168.71	$206.75	$265.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $144.13 / $228.67	Professional		$95.71	$144.13	$228.67