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 $34.59 / $83.01 / $154.18	Professional		$34.59	$83.01	$154.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $115.11 / $138.13	Professional		$91.41	$115.11	$138.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $72.50 / $105.11	Professional		$62.23	$72.50	$105.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $97.62 / $115.11	Professional		$43.66	$97.62	$115.11
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 $68.36 / $115.11 / $134.24	Professional		$68.36	$115.11	$134.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $53.85 / $127.26	Professional		$35.76	$53.85	$127.26