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 $44.81 / $64.34 / $84.30	Professional		$44.81	$64.34	$84.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $86.40 / $99.28	Professional		$50.49	$86.40	$99.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $80.13 / $122.16	Professional		$64.70	$80.13	$122.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $87.36 / $111.19	Professional		$45.25	$87.36	$111.19
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 $81.01 / $99.28 / $117.36	Professional		$81.01	$99.28	$117.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $58.44 / $106.85	Professional		$29.27	$58.44	$106.85