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 $31.76 / $46.09 / $400.00	Professional		$31.76	$46.09	$400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $90.79 / $108.95	Professional		$74.08	$90.79	$108.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $91.32 / $105.49	Professional		$79.28	$91.32	$105.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.15 / $79.89 / $94.42	Professional		$61.15	$79.89	$94.42
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 $74.08 / $90.79 / $193.20	Professional		$74.08	$90.79	$193.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $56.49 / $86.86	Professional		$12.52	$56.49	$86.86