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 $38.17 / $68.95 / $269.00	Professional		$38.17	$68.95	$269.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $84.93 / $101.91	Professional		$64.87	$84.93	$101.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $76.30 / $101.99	Professional		$64.53	$76.30	$101.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $72.02 / $84.93	Professional		$44.89	$72.02	$84.93
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 $62.49 / $84.93 / $101.33	Professional		$62.49	$84.93	$101.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $55.07 / $90.00	Professional		$29.27	$55.07	$90.00