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 $28.60 / $65.12 / $68.68	Professional		$28.60	$65.12	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $92.89 / $111.47	Professional		$75.80	$92.89	$111.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $55.95 / $64.15	Professional		$48.57	$55.95	$64.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $81.73 / $96.60	Professional		$35.49	$81.73	$96.60
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 $75.80 / $92.89 / $177.86	Professional		$75.80	$92.89	$177.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $32.38 / $89.94	Professional		$12.96	$32.38	$89.94