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 $57.86 / $93.65 / $455.22	Professional		$57.86	$93.65	$455.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $149.47 / $179.37	Professional		$121.97	$149.47	$179.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $158.10 / $174.11	Professional		$137.26	$158.10	$174.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $131.54 / $155.44	Professional		$108.65	$131.54	$155.44
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 $121.97 / $149.47 / $322.94	Professional		$121.97	$149.47	$322.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $98.94 / $141.44	Professional		$20.39	$98.94	$141.44