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 $68.20 / $88.45 / $211.84	Professional		$68.20	$88.45	$211.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $121.29 / $145.55	Professional		$98.97	$121.29	$145.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $128.46 / $158.71	Professional		$108.64	$128.46	$158.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $106.73 / $126.14	Professional		$62.74	$106.73	$126.14
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 $98.97 / $121.29 / $243.12	Professional		$98.97	$121.29	$243.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $66.97 / $120.63	Professional		$16.22	$66.97	$120.63