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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $119.99 / $143.99	Professional		$97.91	$119.99	$143.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $100.58 / $139.49	Professional		$87.32	$100.58	$139.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $105.59 / $124.79	Professional		$62.84	$105.59	$124.79
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 $97.91 / $119.99 / $236.10	Professional		$97.91	$119.99	$236.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $64.61 / $118.63	Professional		$17.10	$64.61	$118.63