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 $100.91 / $108.81 / $740.00	Professional		$100.91	$108.81	$740.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.37 / $118.37	Facility		$118.37	$118.37	$118.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.21 / $449.42 / $642.34	Professional		$110.21	$449.42	$642.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $142.05 / $167.98 / $723.93	Professional		$142.05	$167.98	$723.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $455.35 / $552.61	Professional		$75.43	$455.35	$552.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.45 / $552.61 / $667.92	Professional		$378.45	$552.61	$667.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $96.99 / $640.00	Professional		$79.56	$96.99	$640.00