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 $109.24 / $134.99 / $172.82	Professional		$109.24	$134.99	$172.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $163.31 / $310.16	Professional		$126.69	$163.31	$310.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $168.80 / $189.65 / $218.10	Professional		$168.80	$189.65	$218.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.06 / $137.71 / $160.66	Professional		$117.06	$137.71	$160.66
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 $118.57 / $143.44 / $221.74	Professional		$118.57	$143.44	$221.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $148.13 / $230.59	Professional		$20.09	$148.13	$230.59