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 $44.28 / $78.91 / $382.63	Professional		$44.28	$78.91	$382.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $86.88 / $169.35	Professional		$55.22	$86.88	$169.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $77.43 / $131.26	Professional		$60.60	$77.43	$131.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $149.03 / $189.67	Professional		$68.90	$149.03	$189.67
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 $98.15 / $146.96 / $169.35	Professional		$98.15	$146.96	$169.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $57.11 / $151.61	Professional		$29.27	$57.11	$151.61