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 $95.95 / $184.62 / $528.34	Professional		$95.95	$184.62	$528.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $170.35 / $204.42	Professional		$130.22	$170.35	$204.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $171.36 / $197.16 / $221.77	Professional		$171.36	$197.16	$221.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.61 / $149.91 / $172.65	Professional		$126.61	$149.91	$172.65
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 $123.39 / $170.35 / $197.73	Professional		$123.39	$170.35	$197.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $88.89 / $125.37 / $179.27	Professional		$88.89	$125.37	$179.27