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 $185.23 / $185.23 / $300.27	Professional		$185.23	$185.23	$300.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.80 / $338.89 / $406.67	Professional		$292.80	$338.89	$406.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $265.26 / $305.54 / $345.37	Professional		$265.26	$305.54	$345.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $271.11 / $338.89	Professional		$187.02	$271.11	$338.89
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 $235.67 / $324.98 / $425.18	Professional		$235.67	$324.98	$425.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $224.59 / $379.76	Professional		$47.47	$224.59	$379.76