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 $36.57 / $92.51 / $319.77	Professional		$36.57	$92.51	$319.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $94.98 / $241.96	Professional		$41.12	$94.98	$241.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $74.38 / $142.46	Professional		$62.52	$74.38	$142.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $125.78 / $172.63	Professional		$46.52	$125.78	$172.63
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 $89.98 / $144.30 / $179.05	Professional		$89.98	$144.30	$179.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $79.69 / $149.79	Professional		$29.27	$79.69	$149.79