Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.00 / $988.00 / $2,898.00	Facility		$248.00	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $52.77 / $263.10	Professional		$29.26	$52.77	$263.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $56.89 / $69.25	Professional		$33.35	$56.89	$69.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $49.69 / $83.65	Professional		$40.13	$49.69	$83.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $50.06 / $63.71	Professional		$26.75	$50.06	$63.71
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 $46.42 / $56.89 / $73.37	Professional		$46.42	$56.89	$73.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $34.31 / $93.16	Professional		$22.49	$34.31	$93.16