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 $45.14 / $72.29 / $125.99	Professional		$45.14	$72.29	$125.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $128.44 / $135.34	Professional		$59.33	$128.44	$135.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $93.61 / $177.47	Professional		$76.72	$93.61	$177.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $119.10 / $151.58	Professional		$51.63	$119.10	$151.58
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 $110.44 / $135.34 / $190.97	Professional		$110.44	$135.34	$190.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $103.12 / $155.24	Professional		$19.39	$103.12	$155.24