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 $36.59 / $44.15 / $62.96	Professional		$36.59	$44.15	$62.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $49.06 / $58.88	Professional		$42.39	$49.06	$58.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $59.23 / $71.09	Professional		$50.36	$59.23	$71.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $43.18 / $49.40	Professional		$36.22	$43.18	$49.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $49.06 / $64.01	Professional		$36.75	$49.06	$64.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $39.08 / $52.07	Professional		$29.14	$39.08	$52.07