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 $58.70 / $88.37 / $116.56	Professional		$58.70	$88.37	$116.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.07 / $131.21 / $157.46	Professional		$107.07	$131.21	$157.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $113.42 / $134.12 / $162.72	Professional		$113.42	$134.12	$162.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $115.47 / $136.46	Professional		$86.15	$115.47	$136.46
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 $108.39 / $131.21 / $160.08	Professional		$108.39	$131.21	$160.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $89.22 / $132.34	Professional		$17.79	$89.22	$132.34