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 $41.36 / $48.65 / $242.15	Professional		$41.36	$48.65	$242.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $60.84	Professional		$52.00	$52.00	$60.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $80.65 / $2,540.00	Professional		$70.09	$80.65	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $49.92 / $58.24	Professional		$45.76	$49.92	$58.24
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 $42.43 / $56.19 / $69.36	Professional		$42.43	$56.19	$69.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $57.11 / $91.83	Professional		$7.20	$57.11	$91.83