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 $82.98 / $105.67 / $139.66	Professional		$82.98	$105.67	$139.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.11 / $162.80 / $171.59	Professional		$104.11	$162.80	$171.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $154.22 / $200.12	Professional		$133.88	$154.22	$200.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.38 / $151.00 / $171.59	Professional		$97.38	$151.00	$171.59
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 $140.02 / $186.28 / $252.50	Professional		$140.02	$186.28	$252.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $113.36 / $186.70	Professional		$23.52	$113.36	$186.70