Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $1,449.00 / $2,898.00	Facility		$988.00	$1,449.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $121.43 / $473.00	Professional		$67.53	$121.43	$473.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $113.36 / $139.74	Professional		$82.08	$113.36	$139.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $126.91 / $165.56	Professional		$104.00	$126.91	$165.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $122.97 / $156.51	Professional		$69.81	$122.97	$156.51
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 $114.03 / $139.74 / $165.59	Professional		$114.03	$139.74	$165.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $156.47 / $3,580.00	Professional		$71.86	$156.47	$3,580.00