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 $32.06 / $60.07 / $156.43	Professional		$32.06	$60.07	$156.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $118.71 / $142.46	Professional		$96.87	$118.71	$142.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $66.93 / $122.71	Professional		$54.05	$66.93	$122.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $104.47 / $123.46	Professional		$32.25	$104.47	$123.46
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 $81.78 / $118.71 / $202.68	Professional		$81.78	$118.71	$202.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $32.65 / $87.88	Professional		$16.54	$32.65	$87.88