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 $69.64 / $97.61 / $128.99	Professional		$69.64	$97.61	$128.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $127.85 / $131.66	Professional		$81.86	$127.85	$131.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $126.99 / $165.60	Professional		$102.56	$126.99	$165.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $112.51 / $143.19	Professional		$56.90	$112.51	$143.19
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 $104.33 / $127.85 / $158.13	Professional		$104.33	$127.85	$158.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $75.59 / $145.34	Professional		$29.27	$75.59	$145.34