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 $64.88 / $79.23 / $102.07	Professional		$64.88	$79.23	$102.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $118.90	Facility		$118.90	$118.90	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $125.59 / $176.95	Professional		$85.08	$125.59	$176.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $109.17 / $129.10 / $169.11	Professional		$109.17	$129.10	$169.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $126.82 / $153.91	Professional		$77.40	$126.82	$153.91
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 $99.55 / $153.91 / $179.72	Professional		$99.55	$153.91	$179.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $92.43 / $203.71	Professional		$29.27	$92.43	$203.71