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 $101.05 / $106.15 / $136.79	Professional		$101.05	$106.15	$136.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.86 / $152.21 / $156.47	Professional		$121.86	$152.21	$156.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $149.99 / $174.75 / $213.09	Professional		$149.99	$174.75	$213.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $137.69 / $175.25	Professional		$103.36	$137.69	$175.25
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 $127.68 / $156.47 / $198.99	Professional		$127.68	$156.47	$198.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $113.99 / $170.51	Professional		$84.99	$113.99	$170.51