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 $92.83 / $92.83 / $92.83	Professional		$92.83	$92.83	$92.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $79.14 / $94.97	Professional		$58.69	$79.14	$94.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $180.84 / $197.91 / $233.66	Professional		$180.84	$197.91	$233.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $75.97 / $88.63	Professional		$69.64	$75.97	$88.63
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 $64.58 / $79.14 / $151.41	Professional		$64.58	$79.14	$151.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $72.47 / $163.56	Professional		$29.27	$72.47	$163.56