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 $25.23 / $45.78 / $96.55	Professional		$25.23	$45.78	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $77.20 / $92.64	Professional		$63.00	$77.20	$92.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $54.76 / $475.39	Professional		$43.26	$54.76	$475.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $67.94 / $80.29	Professional		$30.77	$67.94	$80.29
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 $61.59 / $77.20 / $144.47	Professional		$61.59	$77.20	$144.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $48.15 / $3,316.00	Professional		$24.20	$48.15	$3,316.00