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 $73.20 / $132.84 / $685.00	Professional		$73.20	$132.84	$685.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $147.83 / $150.76	Professional		$98.25	$147.83	$150.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $151.83 / $253.59	Professional		$119.69	$151.83	$253.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $130.09 / $165.56	Professional		$83.89	$130.09	$165.56
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 $120.63 / $147.83 / $195.71	Professional		$120.63	$147.83	$195.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $158.60 / $2,594.00	Professional		$69.16	$158.60	$2,594.00