Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.66 / $160.66 / $2,898.00	Facility		$160.66	$160.66	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $36.17 / $54.40	Professional		$13.42	$36.17	$54.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $43.35 / $52.02	Professional		$35.36	$43.35	$52.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $28.34 / $52.47	Professional		$22.34	$28.34	$52.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $38.15 / $45.08	Professional		$16.37	$38.15	$45.08
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 $35.36 / $43.35 / $82.88	Professional		$35.36	$43.35	$82.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $26.83 / $39.79	Professional		$12.66	$26.83	$39.79