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 $136.25 / $177.74 / $342.70	Professional		$136.25	$177.74	$342.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.74 / $264.75 / $317.70	Professional		$228.74	$264.75	$317.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $260.95 / $300.58 / $4,284.89	Professional		$260.95	$300.58	$4,284.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.69 / $232.98 / $264.75	Professional		$182.69	$232.98	$264.75
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 $188.78 / $253.81 / $332.96	Professional		$188.78	$253.81	$332.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $198.33 / $321.07	Professional		$35.43	$198.33	$321.07