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 $63.18 / $122.94 / $391.53	Professional		$63.18	$122.94	$391.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $152.31 / $182.78	Professional		$124.29	$152.31	$182.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $128.80 / $154.66	Professional		$108.92	$128.80	$154.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $134.04 / $158.41	Professional		$86.33	$134.04	$158.41
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 $115.29 / $152.31 / $272.45	Professional		$115.29	$152.31	$272.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $86.41 / $142.94	Professional		$20.60	$86.41	$142.94