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 $57.46 / $102.32 / $329.38	Professional		$57.46	$102.32	$329.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $97.76 / $122.66	Professional		$72.66	$97.76	$122.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $113.48 / $143.51	Professional		$93.06	$113.48	$143.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $107.94 / $137.38	Professional		$62.98	$107.94	$137.38
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 $100.09 / $122.66 / $147.93	Professional		$100.09	$122.66	$147.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $77.77 / $150.09	Professional		$29.27	$77.77	$150.09