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 $74.69 / $103.92 / $146.97	Professional		$74.69	$103.92	$146.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $128.30 / $332.35	Professional		$90.22	$128.30	$332.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.84 / $157.09 / $183.04	Professional		$134.84	$157.09	$183.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $112.90 / $143.69	Professional		$88.37	$112.90	$143.69
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 $104.69 / $140.22 / $219.49	Professional		$104.69	$140.22	$219.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $108.39 / $163.22	Professional		$29.27	$108.39	$163.22