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 $40.74 / $48.82 / $171.37	Professional		$40.74	$48.82	$171.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $57.40 / $61.96	Professional		$47.54	$57.40	$61.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $71.84 / $79.09	Professional		$62.37	$71.84	$79.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $54.53 / $69.40	Professional		$42.67	$54.53	$69.40
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 $50.56 / $61.96 / $81.42	Professional		$50.56	$61.96	$81.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $47.40 / $67.90	Professional		$35.34	$47.40	$67.90