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 $54.92 / $69.43 / $95.15	Professional		$54.92	$69.43	$95.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $97.04 / $251.78	Professional		$66.03	$97.04	$251.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $107.74 / $121.28	Professional		$91.53	$107.74	$121.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $85.39 / $108.68	Professional		$67.41	$85.39	$108.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $97.04 / $145.01	Professional		$73.08	$97.04	$145.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $77.50 / $106.09	Professional		$29.27	$77.50	$106.09