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 $29.80 / $69.09 / $257.00	Professional		$29.80	$69.09	$257.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $75.59 / $90.71	Professional		$61.68	$75.59	$90.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $53.24 / $2,278.00	Professional		$46.22	$53.24	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $66.52 / $78.61	Professional		$34.52	$66.52	$78.61
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 $61.68 / $75.59 / $138.58	Professional		$61.68	$75.59	$138.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $44.28 / $75.27	Professional		$26.19	$44.28	$75.27