Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $133.51 / $404.32	Professional		$66.06	$133.51	$404.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $102.96 / $123.56	Professional		$84.02	$102.96	$123.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $135.27 / $191.31	Professional		$114.39	$135.27	$191.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $87.31 / $102.96	Professional		$46.86	$87.31	$102.96
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 $84.02 / $102.96 / $155.21	Professional		$84.02	$102.96	$155.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $68.48 / $176.31	Professional		$29.27	$68.48	$176.31