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 $34.06 / $201.01 / $396.78	Professional		$34.06	$201.01	$396.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $245.73 / $443.13	Professional		$44.19	$245.73	$443.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $65.92 / $397.85	Professional		$55.41	$65.92	$397.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $242.46 / $332.79	Professional		$38.68	$242.46	$332.79
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 $214.55 / $297.14 / $390.60	Professional		$214.55	$297.14	$390.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $50.57 / $333.31	Professional		$41.49	$50.57	$333.31