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 $65.06 / $92.51 / $151.04	Professional		$65.06	$92.51	$151.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $117.98 / $141.57	Professional		$90.07	$117.98	$141.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $120.69 / $136.87	Professional		$104.78	$120.69	$136.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $101.99 / $117.98	Professional		$74.79	$101.99	$117.98
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 $89.21 / $117.98 / $143.21	Professional		$89.21	$117.98	$143.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $83.25 / $124.38	Professional		$59.37	$83.25	$124.38