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 $28.03 / $70.58 / $206.80	Professional		$28.03	$70.58	$206.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $51.10	Facility		$51.10	$51.10	$51.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $180.91 / $229.18	Professional		$35.14	$180.91	$229.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $55.23 / $255.91	Professional		$46.71	$55.23	$255.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $149.07 / $180.91	Professional		$32.04	$149.07	$180.91
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 $149.82 / $220.24 / $262.79	Professional		$149.82	$220.24	$262.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $2,370.61 / $4,233.00	Professional		$39.54	$2,370.61	$4,233.00