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 $35.50 / $54.57 / $207.95	Professional		$35.50	$54.57	$207.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $62.62	Facility		$62.62	$62.62	$62.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $176.79 / $274.69	Professional		$48.22	$176.79	$274.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $71.12 / $269.56	Professional		$58.08	$71.12	$269.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $193.92 / $235.34	Professional		$39.07	$193.92	$235.34
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 $165.72 / $235.34 / $288.80	Professional		$165.72	$235.34	$288.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $2,021.27 / $4,023.00	Professional		$42.63	$2,021.27	$4,023.00