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 $107.35 / $162.74 / $294.87	Professional		$107.35	$162.74	$294.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.61 / $229.00 / $274.80	Professional		$176.61	$229.00	$274.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $216.40 / $285.61	Professional		$183.00	$216.40	$285.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $194.19 / $229.00	Professional		$125.07	$194.19	$229.00
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 $184.83 / $229.00 / $279.23	Professional		$184.83	$229.00	$279.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $154.94 / $249.83	Professional		$103.70	$154.94	$249.83