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 $21.82 / $47.01 / $73.23	Professional		$21.82	$47.01	$73.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $58.51 / $70.22	Professional		$47.75	$58.51	$70.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $46.61 / $70.67	Professional		$37.64	$46.61	$70.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $51.49 / $60.85	Professional		$27.16	$51.49	$60.85
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 $47.75 / $58.51 / $117.34	Professional		$47.75	$58.51	$117.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $29.27 / $53.60	Professional		$20.88	$29.27	$53.60