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 $177.30 / $223.06 / $397.33	Professional		$177.30	$223.06	$397.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.68 / $310.98 / $373.17	Professional		$268.68	$310.98	$373.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $324.02 / $364.06 / $2,540.00	Professional		$324.02	$364.06	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.55 / $273.66 / $323.41	Professional		$240.55	$273.66	$323.41
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 $229.13 / $302.08 / $394.97	Professional		$229.13	$302.08	$394.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $260.00 / $333.45	Professional		$41.68	$260.00	$333.45