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 $44.43 / $51.88 / $141.44	Professional		$44.43	$51.88	$141.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $151.51 / $157.66	Professional		$54.95	$151.51	$157.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $82.23 / $176.70	Professional		$68.93	$82.23	$176.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $133.33 / $151.51	Professional		$53.58	$133.33	$151.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $151.51 / $206.85	Professional		$123.63	$151.51	$206.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $58.82 / $245.82	Professional		$29.27	$58.82	$245.82