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 $65.44 / $86.82 / $95.85	Professional		$65.44	$86.82	$95.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $102.32 / $112.95	Professional		$78.00	$102.32	$112.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $120.62 / $139.60	Professional		$98.69	$120.62	$139.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $99.40 / $126.50	Professional		$68.31	$99.40	$126.50
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 $92.17 / $112.95 / $137.93	Professional		$92.17	$112.95	$137.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $81.09 / $122.11	Professional		$29.27	$81.09	$122.11