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 $39.27 / $39.27 / $65.70	Professional		$39.27	$39.27	$65.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $53.51 / $64.22	Professional		$43.67	$53.51	$64.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $68.16 / $2,518.19	Professional		$62.09	$68.16	$2,518.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $51.37 / $59.93	Professional		$47.09	$51.37	$59.93
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 $43.67 / $56.17 / $127.56	Professional		$43.67	$56.17	$127.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $41.97 / $2,900.00	Professional		$7.66	$41.97	$2,900.00