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 $47.64 / $55.61 / $154.19	Professional		$47.64	$55.61	$154.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.03 / $179.14 / $186.54	Professional		$71.03	$179.14	$186.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $106.04 / $261.89	Professional		$92.06	$106.04	$261.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $164.15 / $208.92	Professional		$53.77	$164.15	$208.92
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 $152.21 / $199.43 / $284.58	Professional		$152.21	$199.43	$284.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $65.76 / $208.01	Professional		$29.27	$65.76	$208.01