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 $55.53 / $57.94 / $378.67	Professional		$55.53	$57.94	$378.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $378.11 / $538.49	Professional		$66.91	$378.11	$538.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $100.73 / $555.83	Professional		$81.34	$100.73	$555.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.05 / $473.87 / $603.11	Professional		$56.05	$473.87	$603.11
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 $439.41 / $538.49 / $651.38	Professional		$439.41	$538.49	$651.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $81.08 / $648.63	Professional		$56.94	$81.08	$648.63