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 $43.82 / $43.82 / $43.82	Professional		$43.82	$43.82	$43.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $53.96 / $56.76	Professional		$53.96	$53.96	$56.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $70.48 / $87.15	Professional		$64.41	$70.48	$87.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $51.80 / $60.44	Professional		$47.49	$51.80	$60.44
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 $44.03 / $57.37 / $72.86	Professional		$44.03	$57.37	$72.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $59.75 / $90.67	Professional		$29.27	$59.75	$90.67