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 $14.94 / $24.39 / $38.88	Professional		$14.94	$24.39	$38.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $30.98 / $37.17	Professional		$25.28	$30.98	$37.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $30.96 / $36.76	Professional		$26.88	$30.96	$36.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $27.26 / $32.21	Professional		$19.14	$27.26	$32.21
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 $25.28 / $30.98 / $67.64	Professional		$25.28	$30.98	$67.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $21.32 / $29.98	Professional		$4.32	$21.32	$29.98