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 $68.70 / $77.18 / $380.00	Professional		$68.70	$77.18	$380.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $90.09 / $93.37	Professional		$75.41	$90.09	$93.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $113.82 / $134.31	Professional		$101.30	$113.82	$134.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $86.48 / $100.90	Professional		$79.28	$86.48	$100.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $94.58 / $121.40	Professional		$73.51	$94.58	$121.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $66.33 / $139.85	Professional		$12.49	$66.33	$139.85