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 $39.92 / $41.45 / $68.91	Professional		$39.92	$41.45	$68.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $74.62 / $95.13	Professional		$47.98	$74.62	$95.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $73.55 / $115.16	Professional		$59.48	$73.55	$115.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $83.71 / $106.54	Professional		$41.20	$83.71	$106.54
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 $77.62 / $95.13 / $112.50	Professional		$77.62	$95.13	$112.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $50.75 / $103.61	Professional		$33.70	$50.75	$103.61