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 $41.93 / $47.96 / $47.96	Professional		$41.93	$47.96	$47.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $86.37 / $86.37	Facility		$86.37	$86.37	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $74.56 / $97.00	Professional		$62.11	$74.56	$97.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $91.07 / $102.44	Professional		$79.15	$91.07	$102.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $65.23 / $75.31	Professional		$57.46	$65.23	$75.31
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 $66.27 / $75.87 / $103.34	Professional		$66.27	$75.87	$103.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $62.87 / $113.51	Professional		$29.27	$62.87	$113.51