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 $107.44 / $121.79 / $256.38	Professional		$107.44	$121.79	$256.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $255.10 / $255.10	Professional		$173.49	$255.10	$255.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $184.68 / $212.72 / $368.46	Professional		$184.68	$212.72	$368.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $224.49 / $285.70	Professional		$120.24	$224.49	$285.70
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 $208.16 / $291.82 / $410.58	Professional		$208.16	$291.82	$410.58