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 $85.12 / $153.93 / $218.14	Professional		$85.12	$153.93	$218.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.53 / $168.44 / $202.13	Professional		$145.53	$168.44	$202.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $188.00 / $2,286.00	Professional		$163.22	$188.00	$2,286.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.12 / $148.22 / $168.44	Professional		$115.12	$148.22	$168.44
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 $120.07 / $160.61 / $211.92	Professional		$120.07	$160.61	$211.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $138.19 / $202.95	Professional		$29.27	$138.19	$202.95