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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $10.91 / $10.91	Professional		$10.91	$10.91	$10.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $8.97 / $10.71	Professional		$8.57	$8.97	$10.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $10.91 / $13.64	Professional		$9.09	$10.91	$13.64
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.50 / $10.91	Professional		$3.00	$4.50	$10.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.28 / $9.60	Professional		$6.00	$7.28	$9.60