Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $36.84 / $48.43	Professional		$21.28	$36.84	$48.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $40.53 / $48.63	Professional		$31.31	$40.53	$48.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.99 / $49.52	Professional		$38.90	$43.99	$49.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $35.65 / $40.53	Professional		$26.26	$35.65	$40.53
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 $33.07 / $40.53 / $51.77	Professional		$33.07	$40.53	$51.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $32.93 / $49.99	Professional		$22.04	$32.93	$49.99