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 $58.66 / $64.34 / $122.20	Professional		$58.66	$64.34	$122.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $104.94	Facility		$104.94	$104.94	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $162.50 / $262.35	Professional		$75.40	$162.50	$262.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $95.62 / $112.49 / $229.74	Professional		$95.62	$112.49	$229.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $164.09 / $199.14	Professional		$65.68	$164.09	$199.14
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 $153.81 / $199.14 / $259.56	Professional		$153.81	$199.14	$259.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $81.70 / $306.02	Professional		$29.27	$81.70	$306.02