Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $67.45 / $145.37	Professional		$52.03	$67.45	$145.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $113.28 / $135.93	Professional		$87.79	$113.28	$135.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $118.63 / $138.09	Professional		$102.99	$118.63	$138.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $98.58 / $113.28	Professional		$72.29	$98.58	$113.28
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 $90.69 / $113.28 / $138.15	Professional		$90.69	$113.28	$138.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $80.20 / $119.85	Professional		$29.27	$80.20	$119.85