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 $44.97 / $54.84 / $283.00	Professional		$44.97	$54.84	$283.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $75.23 / $88.95	Professional		$57.81	$75.23	$88.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $88.68 / $101.60	Professional		$78.48	$88.68	$101.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $67.59 / $84.25	Professional		$53.11	$67.59	$84.25
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 $61.38 / $75.23 / $95.37	Professional		$61.38	$75.23	$95.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $54.56 / $71.25	Professional		$29.27	$54.56	$71.25