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 $69.31 / $79.70 / $178.78	Professional		$69.31	$79.70	$178.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $111.69	Facility		$111.69	$111.69	$111.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $196.38 / $421.41	Professional		$83.22	$196.38	$421.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $102.12 / $120.75 / $310.73	Professional		$102.12	$120.75	$310.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $347.24 / $421.41	Professional		$72.39	$347.24	$421.41
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 $231.55 / $415.57 / $445.16	Professional		$231.55	$415.57	$445.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $86.46 / $492.86	Professional		$57.87	$86.46	$492.86