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 $103.62 / $135.37 / $260.69	Professional		$103.62	$135.37	$260.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $204.45 / $245.34	Professional		$157.21	$204.45	$245.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $178.86 / $209.57 / $246.46	Professional		$178.86	$209.57	$246.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $173.37 / $204.45	Professional		$123.90	$173.37	$204.45
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 $166.83 / $204.45 / $248.57	Professional		$166.83	$204.45	$248.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $145.38 / $217.23	Professional		$101.35	$145.38	$217.23