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 $71.06 / $72.18 / $72.18	Professional		$71.06	$72.18	$72.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $86.26 / $86.26	Professional		$68.09	$86.26	$86.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $113.92 / $134.43	Professional		$101.40	$113.92	$134.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $82.81 / $96.61	Professional		$75.91	$82.81	$96.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $86.26 / $109.08	Professional		$70.39	$86.26	$109.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $76.31 / $217.39	Professional		$29.27	$76.31	$217.39