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 $23.00 / $37.14 / $189.00	Professional		$23.00	$37.14	$189.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $42.53 / $51.03	Professional		$34.70	$42.53	$51.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $46.00 / $56.54	Professional		$38.70	$46.00	$56.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $37.42 / $44.23	Professional		$19.09	$37.42	$44.23
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 $34.70 / $42.53 / $86.14	Professional		$34.70	$42.53	$86.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $29.27 / $42.70	Professional		$15.11	$29.27	$42.70