Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.01 / $988.00 / $2,898.00	Facility		$505.01	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $62.68 / $229.00	Professional		$33.60	$62.68	$229.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $67.30 / $80.76	Professional		$53.04	$67.30	$80.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $68.87 / $85.46	Professional		$59.12	$68.87	$85.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $57.07 / $67.30	Professional		$39.60	$57.07	$67.30
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 $54.92 / $67.30 / $91.10	Professional		$54.92	$67.30	$91.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $50.05 / $757.00	Professional		$29.27	$50.05	$757.00