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 $46.25 / $70.23 / $89.11	Professional		$46.25	$70.23	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.91 / $105.29 / $126.35	Professional		$85.91	$105.29	$126.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $92.75 / $114.80	Professional		$78.44	$92.75	$114.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $92.65 / $109.50	Professional		$58.16	$92.65	$109.50
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 $85.91 / $105.29 / $200.16	Professional		$85.91	$105.29	$200.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $58.04 / $100.35	Professional		$13.49	$58.04	$100.35