Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.80 / $2,747.00 / $2,898.00	Facility		$716.80	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $33.64 / $375.00	Professional		$14.83	$33.64	$375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $50.61 / $60.74	Professional		$41.30	$50.61	$60.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $42.22 / $60.03	Professional		$36.65	$42.22	$60.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $44.54 / $52.64	Professional		$28.04	$44.54	$52.64
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 $41.30 / $50.61 / $106.84	Professional		$41.30	$50.61	$106.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $30.72 / $49.97	Professional		$7.20	$30.72	$49.97