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 $21.10 / $29.26 / $36.76	Professional		$21.10	$29.26	$36.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $41.09 / $49.31	Professional		$33.53	$41.09	$49.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $45.05 / $48.59	Professional		$39.11	$45.05	$48.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $36.15 / $42.73	Professional		$28.26	$36.15	$42.73
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 $33.53 / $41.38 / $54.80	Professional		$33.53	$41.38	$54.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $28.94 / $38.59	Professional		$5.56	$28.94	$38.59