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 $44.53 / $67.53 / $418.87	Professional		$44.53	$67.53	$418.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $80.37	Facility		$80.37	$80.37	$80.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $325.89 / $423.56	Professional		$57.99	$325.89	$423.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $85.74 / $513.62	Professional		$72.51	$85.74	$513.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $268.54 / $325.89	Professional		$48.85	$268.54	$325.89
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 $325.89 / $333.06 / $512.07	Professional		$325.89	$333.06	$512.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $61.88 / $469.90	Professional		$41.09	$61.88	$469.90