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 $178.93 / $326.00 / $1,096.72	Professional		$178.93	$326.00	$1,096.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.58 / $400.23 / $480.27	Professional		$326.58	$400.23	$480.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $303.56 / $358.96 / $499.31	Professional		$303.56	$358.96	$499.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.64 / $320.18 / $400.23	Professional		$215.64	$320.18	$400.23
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 $326.58 / $400.23 / $753.76	Professional		$326.58	$400.23	$753.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $267.49 / $4,023.00	Professional		$54.59	$267.49	$4,023.00