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 $92.79 / $113.13 / $217.76	Professional		$92.79	$113.13	$217.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $170.09 / $204.11	Professional		$135.91	$170.09	$204.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $126.47 / $149.55 / $210.51	Professional		$126.47	$149.55	$210.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $144.22 / $170.09	Professional		$81.81	$144.22	$170.09
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 $138.79 / $170.09 / $215.64	Professional		$138.79	$170.09	$215.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $103.16 / $184.01	Professional		$68.50	$103.16	$184.01