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 $67.93 / $109.63 / $204.27	Professional		$67.93	$109.63	$204.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $156.10 / $187.32	Professional		$121.77	$156.10	$187.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $127.59 / $146.96 / $173.25	Professional		$127.59	$146.96	$173.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $132.37 / $156.10	Professional		$89.54	$132.37	$156.10
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 $117.97 / $155.24 / $177.75	Professional		$117.97	$155.24	$177.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $96.97 / $166.80	Professional		$29.27	$96.97	$166.80