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 $26.51 / $31.48 / $51.99	Professional		$26.51	$31.48	$51.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $42.04 / $42.04	Professional		$34.40	$42.04	$42.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $52.02 / $2,342.00	Professional		$45.21	$52.02	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $40.36 / $47.08	Professional		$36.99	$40.36	$47.08
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 $34.29 / $42.65 / $55.26	Professional		$34.29	$42.65	$55.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $46.09 / $3,113.00	Professional		$29.27	$46.09	$3,113.00