Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $64.13 / $235.26	Professional		$43.02	$64.13	$235.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $77.66 / $93.20	Professional		$61.37	$77.66	$93.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $78.25 / $96.91	Professional		$67.16	$78.25	$96.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $65.86 / $77.66	Professional		$45.05	$65.86	$77.66
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 $63.37 / $77.66 / $104.67	Professional		$63.37	$77.66	$104.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $57.21 / $86.16	Professional		$29.27	$57.21	$86.16