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 $172.94 / $201.35 / $442.88	Professional		$172.94	$201.35	$442.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $403.81 / $403.81	Professional		$275.57	$403.81	$403.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $296.97 / $342.06 / $636.10	Professional		$296.97	$342.06	$636.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $355.36 / $452.27	Professional		$196.33	$355.36	$452.27
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 $329.51 / $614.88 / $880.07	Professional		$329.51	$614.88	$880.07