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 $23.98 / $65.06 / $370.50	Professional		$23.98	$65.06	$370.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $78.56 / $94.28	Professional		$64.11	$78.56	$94.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $46.05 / $53.05	Professional		$39.97	$46.05	$53.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $69.14 / $81.70	Professional		$29.43	$69.14	$81.70
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 $64.11 / $78.56 / $149.56	Professional		$64.11	$78.56	$149.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $29.27 / $74.51	Professional		$10.74	$29.27	$74.51