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 $71.04 / $177.43 / $506.04	Professional		$71.04	$177.43	$506.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.05 / $203.61 / $316.20	Professional		$128.05	$203.61	$316.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $199.10 / $227.70 / $257.89	Professional		$199.10	$227.70	$257.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.86 / $179.18 / $203.61	Professional		$69.86	$179.18	$203.61
United Facility/Professional Professional Modifier Low / Median / High Price $166.15 / $203.61 / $441.72	Professional		$166.15	$203.61	$441.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $94.09 / $226.13	Professional		$64.50	$94.09	$226.13