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 $67.19 / $83.86 / $83.86	Professional		$67.19	$83.86	$83.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $94.38 / $113.60	Professional		$87.44	$94.38	$113.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $138.02 / $2,342.00	Professional		$119.95	$138.02	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.05 / $90.60 / $105.70	Professional		$83.05	$90.60	$105.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $95.85 / $123.48	Professional		$77.01	$95.85	$123.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $104.08 / $163.09	Professional		$29.27	$104.08	$163.09