Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $70.58 / $113.46	Professional		$58.55	$70.58	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $89.50 / $107.40	Professional		$71.41	$89.50	$107.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.92 / $117.78	Professional		$79.43	$93.92	$117.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $75.90 / $89.50	Professional		$50.95	$75.90	$89.50
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 $73.03 / $89.50 / $120.02	Professional		$73.03	$89.50	$120.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $63.55 / $100.23	Professional		$12.63	$63.55	$100.23