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 $84.85 / $99.59 / $118.31	Professional		$84.85	$99.59	$118.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $130.63 / $160.40	Professional		$102.06	$130.63	$160.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $155.27 / $193.04	Professional		$131.31	$155.27	$193.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $141.15 / $179.65	Professional		$90.46	$141.15	$179.65
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 $130.88 / $160.40 / $194.72	Professional		$130.88	$160.40	$194.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $99.80 / $175.33	Professional		$29.27	$99.80	$175.33