Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $165.65 / $896.00	Professional		$102.90	$165.65	$896.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $211.54 / $242.64	Professional		$138.94	$211.54	$242.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $199.49 / $235.90 / $303.37	Professional		$199.49	$235.90	$303.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.80 / $213.52 / $271.75	Professional		$142.80	$213.52	$271.75
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 $211.36 / $236.06 / $313.27	Professional		$211.36	$236.06	$313.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.36 / $179.25 / $269.93	Professional		$114.36	$179.25	$269.93