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 $100.89 / $163.29 / $416.15	Professional		$100.89	$163.29	$416.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $127.31 / $152.78	Professional		$103.89	$127.31	$152.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $164.55 / $202.05	Professional		$142.86	$164.55	$202.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $112.04 / $132.41	Professional		$76.77	$112.04	$132.41
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 $103.89 / $127.94 / $277.82	Professional		$103.89	$127.94	$277.82