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 $89.63 / $121.49 / $136.02	Professional		$89.63	$121.49	$136.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.29 / $145.13 / $218.24	Professional		$107.29	$145.13	$218.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $159.24 / $213.29	Professional		$134.66	$159.24	$213.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $192.05 / $244.43	Professional		$93.52	$192.05	$244.43
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 $178.08 / $218.24 / $244.37	Professional		$178.08	$218.24	$244.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $114.91 / $246.47	Professional		$30.95	$114.91	$246.47