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 $48.66 / $54.11 / $70.16	Professional		$48.66	$54.11	$70.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $68.52 / $106.86	Professional		$54.79	$68.52	$106.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $85.14 / $97.91	Professional		$75.78	$85.14	$97.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $57.79 / $67.42	Professional		$49.12	$57.79	$67.42
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 $45.57 / $60.20 / $82.48	Professional		$45.57	$60.20	$82.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $62.42 / $89.96	Professional		$8.46	$62.42	$89.96