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 $24.76 / $54.46 / $148.56	Professional		$24.76	$54.46	$148.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $109.39 / $131.27	Professional		$89.26	$109.39	$131.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $52.03 / $106.29	Professional		$42.02	$52.03	$106.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $96.26 / $113.76	Professional		$25.20	$96.26	$113.76
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 $67.50 / $109.39 / $181.60	Professional		$67.50	$109.39	$181.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $50.44 / $92.47	Professional		$20.63	$50.44	$92.47