Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $144.69 / $169.72	Professional		$144.69	$144.69	$169.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.86 / $206.73 / $206.73	Professional		$154.86	$206.73	$206.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $235.81 / $253.50 / $265.44	Professional		$235.81	$253.50	$265.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.92 / $198.46 / $231.53	Professional		$181.92	$198.46	$231.53
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 $168.69 / $217.88 / $284.16	Professional		$168.69	$217.88	$284.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $206.78 / $232.18	Professional		$29.02	$206.78	$232.18