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 $65.15 / $90.21 / $169.32	Professional		$65.15	$90.21	$169.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $103.85 / $132.04	Professional		$78.76	$103.85	$132.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $120.57 / $166.69	Professional		$101.96	$120.57	$166.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $116.19 / $147.88	Professional		$69.98	$116.19	$147.88
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 $107.74 / $132.04 / $157.10	Professional		$107.74	$132.04	$157.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $79.70 / $145.74	Professional		$29.27	$79.70	$145.74