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 $45.60 / $98.34 / $141.15	Professional		$45.60	$98.34	$141.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $131.21 / $265.51	Professional		$54.37	$131.21	$265.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $62.78 / $172.39	Professional		$52.77	$62.78	$172.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $140.63 / $193.03	Professional		$52.72	$140.63	$193.03
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 $109.12 / $167.89 / $211.46	Professional		$109.12	$167.89	$211.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $65.29 / $176.99	Professional		$29.27	$65.29	$176.99