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 $39.35 / $45.17 / $124.66	Professional		$39.35	$45.17	$124.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $74.98	Facility		$74.98	$74.98	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $205.81 / $305.57	Professional		$52.46	$205.81	$305.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $84.11 / $234.50	Professional		$71.13	$84.11	$234.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $231.56 / $281.02	Professional		$48.20	$231.56	$281.02
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 $178.89 / $281.02 / $339.56	Professional		$178.89	$281.02	$339.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $60.22 / $327.47	Professional		$40.31	$60.22	$327.47