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 $36.03 / $42.68 / $53.15	Professional		$36.03	$42.68	$53.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $55.13 / $156.82	Professional		$44.94	$55.13	$156.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $69.06 / $79.42	Professional		$61.46	$69.06	$79.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $44.29 / $51.67	Professional		$40.60	$44.29	$51.67
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 $37.65 / $47.44 / $68.15	Professional		$37.65	$47.44	$68.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $44.62 / $80.34	Professional		$6.26	$44.62	$80.34