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 $36.64 / $60.10 / $174.09	Professional		$36.64	$60.10	$174.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $172.25 / $238.92	Professional		$50.68	$172.25	$238.92
HMSA Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $71.86 / $283.66	Professional		$60.40	$71.86	$283.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $191.36 / $232.24	Professional		$42.89	$191.36	$232.24
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 $143.05 / $232.24 / $269.25	Professional		$143.05	$232.24	$269.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $46.88 / $260.18	Professional		$29.27	$46.88	$260.18