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 $146.97 / $203.38 / $873.16	Professional		$146.97	$203.38	$873.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.86 / $248.41 / $284.36	Professional		$185.86	$248.41	$284.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $258.56 / $305.75 / $351.09	Professional		$258.56	$305.75	$351.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $250.24 / $318.49	Professional		$181.97	$250.24	$318.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.04 / $284.36 / $358.20	Professional		$232.04	$284.36	$358.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $270.36 / $4,023.00	Professional		$146.51	$270.36	$4,023.00