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 $61.38 / $172.90 / $299.63	Professional		$61.38	$172.90	$299.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $115.83 / $115.83	Facility		$115.83	$115.83	$115.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $241.04 / $342.59	Professional		$82.80	$241.04	$342.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $105.59 / $125.08 / $313.39	Professional		$105.59	$125.08	$313.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $246.89 / $299.63	Professional		$72.75	$246.89	$299.63
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 $93.00 / $299.63 / $1,742.76	Professional		$93.00	$299.63	$1,742.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $178.56 / $399.09	Professional		$39.68	$178.56	$399.09