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 $18.39 / $22.22 / $30.58	Professional		$18.39	$22.22	$30.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $31.24 / $32.75	Professional		$25.84	$31.24	$32.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $38.81 / $102.00	Professional		$33.09	$38.81	$102.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.82 / $36.68	Professional		$21.88	$28.82	$36.68
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 $26.72 / $32.75 / $43.82	Professional		$26.72	$32.75	$43.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $24.23 / $33.93	Professional		$4.55	$24.23	$33.93