Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $45.76 / $45.76	Professional		$38.76	$45.76	$45.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $64.63 / $64.63	Professional		$50.30	$64.63	$64.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $91.56 / $2,286.00	Professional		$77.53	$91.56	$2,286.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $62.04 / $72.38	Professional		$56.87	$62.04	$72.38
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 $52.73 / $64.63 / $87.57	Professional		$52.73	$64.63	$87.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $59.87 / $93.13	Professional		$29.27	$59.87	$93.13