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 $30.57 / $100.84 / $125.35	Professional		$30.57	$100.84	$125.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $119.77 / $137.03	Professional		$36.36	$119.77	$137.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $60.28 / $169.46	Professional		$48.68	$60.28	$169.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $120.58 / $153.47	Professional		$34.72	$120.58	$153.47
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 $111.81 / $137.03 / $172.22	Professional		$111.81	$137.03	$172.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $39.36 / $148.22	Professional		$26.15	$39.36	$148.22