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 $61.46 / $73.81 / $240.00	Professional		$61.46	$73.81	$240.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $90.38 / $108.45	Professional		$73.75	$90.38	$108.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $100.87 / $2,342.00	Professional		$89.61	$100.87	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $79.53 / $93.99	Professional		$68.20	$79.53	$93.99
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 $78.12 / $90.38 / $108.39	Professional		$78.12	$90.38	$108.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $63.55 / $82.99	Professional		$11.96	$63.55	$82.99